ophthalmologists-2017-scientifictracks-abstracts

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Volume 2, Issue 2 (Suppl)

Optom open access

ISSN: 2476-2075 OMOA, an open access journal

Ophthalmologists 2017

September 25-26, 2017

September 25-26, 2017 Dubai, UAE

Global

Ophthalmologists Annual Meeting

Suture or sutureless technique to compare the surgical outcome and patient comfort with dry amniotic

membrane and conjunctival limbal autograft in primary pterygium surgery

Meghana Patil

J.J.M Medical College, India

Objective:

To compare the intraoperative and post-operative complications with dry amniotic membrane transplantation and

conjunctival limbal autograft and to assess the patient comfort between the two surgeries in primary pterygium.

Method:

This randomized, open labeled, parallel group and prospective study enrolled 80 patients above 18 years attending the

ophthalmic OPD with primary pterygium. The eligible participants were randomized into four groups. Group-A: Conjunctival

limbal autograft with autologous serum, Group-B: Conjunctival limbal autograft with suture, Group-C: Amniotic membrane

transplantation with autologous serum, Group-D and Group-C Amniotic membrane transplantation with Suture. Patient

assessment was done intraoperatively, postoperative day 1, week 1 and week 6 for ocular signs and symptoms. Adverse events

were recorded. The statistical analysis was done using Chi square test and Wilcoxon signed rank test.

Results:

Surgical outcome-graft tear (4.20%) and button hole (3.15%) were higher in suture techniques and graft loss (1,

5%) was seen in Group-B. Congestion (25, 62.5%) and graft edema (12.30%) was more with suture techniques, maximum

recurrence was seen in Group-A (5.25%) and Group-B (4.25%). Patient comfort was highest in suture less technique with

significant p value (0.012). At week 6, a significant reduction in the mean scores was seen in all the four groups.

Conclusion:

Conjunctival limbal autograft with autologuos serum is the best technique for pterygium surgery with few

complications, recurrences and good patient comfort. However, amniotic membrane transplantation can be reserved for

patients with glaucoma.

Biography

Meghana Patil has completed her MBBS, MS in Ophthalmology and FCPRS Fellowship in Cornea and Phacorefractive Surgery. She is currently an Assistant

Professor at the Department of Ophthalmology, J.J.M Medical College, India.

Meghana Patil, Optom open access 2017, 2:2 (Suppl)

DOI: 10.4172/2476-2075-C1-005