Comparison between Sutured and Sutureless Pressure Technique of Conjunctival Limbal Autograft in Pterygium Surgery

Dr. R. R. Naik, Dr. Nitish Arora, Dr. Sneha Murade

Abstract: Aim - To compare the outcome of sutured and sutureless pressure technique of conjunctival limbal autograft in Pterygium surgery. Methods - Clinical trial was carried out in 24 patients with primary pterygium grade 2. Group A (12 patients) - Autograft with 10-0 ethilon sutures. Group B (12 patients) - Sutureless autograft placed in-situ with pressure technique. Condition of graft and patients discomfort assessed using visual analogue scale on post operative day 1. Results - No significant difference in post operative discomfort was found between 2 groups in both the techniques. (P<0.01) 4 out of 12 in sutureless pressure technique graft were displaced post operatively. All grafts in-situ in sutured graft technique. Conclusion - Technique with sutures is better than the sutureless pressure technique, though post operative discomfort is not significantly different.

Keywords: Pterygium, Conjunctival limbal autograft, sutureless autograft, sutured autograft