RECURRENCE OF PTERYGIUM AFTER EXCISION WITH CONJUNCTIVAL LIMBAL AUTOGRAFT USING SUTURES VERSUS AUTOLOGOUS BLOOD (NON GLUE, SUTURELESS)

Objective: To compare outcome of pterygium excision with conjunctival autograft using sutures versus conjunctival limbal autograft using autologous blood. Study Design: Randomized controlled trial. Place and Duration of Study: Combined Military Hospital (CMH) Rawalakot, from Jul 2017 to Jul 20...

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Autores principales:	Abdul Rauf, Anam Badar, Muhammad Saim Khan, Syed Abid Hussain Naqvi, Amjad Akram, Irshad Hussain
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2019
Materias:	autologous blood conjunctival autograft pterygium Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/b0fe22a710454d0fa4121ad53304bc17
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spelling	oai:doaj.org-article:b0fe22a710454d0fa4121ad53304bc172021-11-11T04:29:52ZRECURRENCE OF PTERYGIUM AFTER EXCISION WITH CONJUNCTIVAL LIMBAL AUTOGRAFT USING SUTURES VERSUS AUTOLOGOUS BLOOD (NON GLUE, SUTURELESS)0030-96482411-8842https://doaj.org/article/b0fe22a710454d0fa4121ad53304bc172019-08-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/3205/2314https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To compare outcome of pterygium excision with conjunctival autograft using sutures versus conjunctival limbal autograft using autologous blood. Study Design: Randomized controlled trial. Place and Duration of Study: Combined Military Hospital (CMH) Rawalakot, from Jul 2017 to Jul 2018. Material and Methods: After getting approval from hospital ethical committee 140 patients with primary pterygium were included in the study. The demographic details were noted and patients were randomized by lottery method in two groups (group A & B). Both groups were operated under topical anesthesia (Alcain). Group A underwent lamellar pterygium excision followed by limbal conjunctival autograft secured with nylon 10/0 sutures. Group B underwent limbal conjunctival autograft using autologous blood (non-glue, suture less), 2-3 drops of patients own blood below graft acted as adhesive when left there for 15 to 20 minutes. Patients were followed up at 2 weeks, 2 month and 6 months postoperatively to see recurrence. All the readings were carried out and noted by single person in order to minimize study bias. Results: A total of 140 patients (70 in each group) were included in the study with a mean age of 32.88 ± 5.82 years in group A and 32.97 ± 4.69 years in group-B. Regarding gender distribution, 51.43% in group-A and 48.57% in group-B were males. Comparison of outcome of pterygium excision with conjunctival autograft using sutures vs conjunctival limbal autograft using autologous blood showed that 15.71% in group-A and 5.71% in group-B had recurrence of pterygium. Conclusion: We concluded that the recurrence was significantly lower after pterygium excision when comparing conjunctival limbal autograft using autologous blood (non-glue, suture less) with conjunctival autograft using sutures.Abdul RaufAnam BadarMuhammad Saim KhanSyed Abid Hussain NaqviAmjad AkramIrshad HussainArmy Medical College Rawalpindiarticleautologous bloodconjunctival autograftpterygiumMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 4, Pp 814-817 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	autologous blood conjunctival autograft pterygium Medicine R Medicine (General) R5-920
spellingShingle	autologous blood conjunctival autograft pterygium Medicine R Medicine (General) R5-920 Abdul Rauf Anam Badar Muhammad Saim Khan Syed Abid Hussain Naqvi Amjad Akram Irshad Hussain RECURRENCE OF PTERYGIUM AFTER EXCISION WITH CONJUNCTIVAL LIMBAL AUTOGRAFT USING SUTURES VERSUS AUTOLOGOUS BLOOD (NON GLUE, SUTURELESS)
description	Objective: To compare outcome of pterygium excision with conjunctival autograft using sutures versus conjunctival limbal autograft using autologous blood. Study Design: Randomized controlled trial. Place and Duration of Study: Combined Military Hospital (CMH) Rawalakot, from Jul 2017 to Jul 2018. Material and Methods: After getting approval from hospital ethical committee 140 patients with primary pterygium were included in the study. The demographic details were noted and patients were randomized by lottery method in two groups (group A & B). Both groups were operated under topical anesthesia (Alcain). Group A underwent lamellar pterygium excision followed by limbal conjunctival autograft secured with nylon 10/0 sutures. Group B underwent limbal conjunctival autograft using autologous blood (non-glue, suture less), 2-3 drops of patients own blood below graft acted as adhesive when left there for 15 to 20 minutes. Patients were followed up at 2 weeks, 2 month and 6 months postoperatively to see recurrence. All the readings were carried out and noted by single person in order to minimize study bias. Results: A total of 140 patients (70 in each group) were included in the study with a mean age of 32.88 ± 5.82 years in group A and 32.97 ± 4.69 years in group-B. Regarding gender distribution, 51.43% in group-A and 48.57% in group-B were males. Comparison of outcome of pterygium excision with conjunctival autograft using sutures vs conjunctival limbal autograft using autologous blood showed that 15.71% in group-A and 5.71% in group-B had recurrence of pterygium. Conclusion: We concluded that the recurrence was significantly lower after pterygium excision when comparing conjunctival limbal autograft using autologous blood (non-glue, suture less) with conjunctival autograft using sutures.
format	article
author	Abdul Rauf Anam Badar Muhammad Saim Khan Syed Abid Hussain Naqvi Amjad Akram Irshad Hussain
author_facet	Abdul Rauf Anam Badar Muhammad Saim Khan Syed Abid Hussain Naqvi Amjad Akram Irshad Hussain
author_sort	Abdul Rauf
title	RECURRENCE OF PTERYGIUM AFTER EXCISION WITH CONJUNCTIVAL LIMBAL AUTOGRAFT USING SUTURES VERSUS AUTOLOGOUS BLOOD (NON GLUE, SUTURELESS)
title_short	RECURRENCE OF PTERYGIUM AFTER EXCISION WITH CONJUNCTIVAL LIMBAL AUTOGRAFT USING SUTURES VERSUS AUTOLOGOUS BLOOD (NON GLUE, SUTURELESS)
title_full	RECURRENCE OF PTERYGIUM AFTER EXCISION WITH CONJUNCTIVAL LIMBAL AUTOGRAFT USING SUTURES VERSUS AUTOLOGOUS BLOOD (NON GLUE, SUTURELESS)
title_fullStr	RECURRENCE OF PTERYGIUM AFTER EXCISION WITH CONJUNCTIVAL LIMBAL AUTOGRAFT USING SUTURES VERSUS AUTOLOGOUS BLOOD (NON GLUE, SUTURELESS)
title_full_unstemmed	RECURRENCE OF PTERYGIUM AFTER EXCISION WITH CONJUNCTIVAL LIMBAL AUTOGRAFT USING SUTURES VERSUS AUTOLOGOUS BLOOD (NON GLUE, SUTURELESS)
title_sort	recurrence of pterygium after excision with conjunctival limbal autograft using sutures versus autologous blood (non glue, sutureless)
publisher	Army Medical College Rawalpindi
publishDate	2019
url	https://doaj.org/article/b0fe22a710454d0fa4121ad53304bc17
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RECURRENCE OF PTERYGIUM AFTER EXCISION WITH CONJUNCTIVAL LIMBAL AUTOGRAFT USING SUTURES VERSUS AUTOLOGOUS BLOOD (NON GLUE, SUTURELESS)

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