Indian Journal of Clinical and Experimental Ophthalmology

Print ISSN: 2395-1443

Online ISSN: 2395-1451

CODEN : IJCEKF

Indian Journal of Clinical and Experimental Ophthalmology (IJCEO) is open access, a peer-reviewed medical journal, published quarterly, online, and in print, by the Innovative Education and Scientific Research Foundation (IESRF) since 2015. To fulfil our aim of rapid dissemination of knowledge, we publish articles ‘Ahead of Print’ on acceptance. In addition, the journal allows free access (Open Access) to its content, which is likely to attract more readers and citations of articles published in IJCEO. Manuscripts must be prepared in more...

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Original Article


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240-243


Authors Details

Sharda Punjabi*, Nishant Patel, Komal Bhutna


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Outcome of double headed pterygium surgeries with conjunctival autograft adhered by autologous blood: a retrospective study


Original Article

Author Details : Sharda Punjabi*, Nishant Patel, Komal Bhutna

Volume : 6, Issue : 2, Year : 2020

Article Page : 240-243

https://doi.org/10.18231/j.ijceo.2020.052



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Abstract

Purpose: To evaluate the post-operative outcome of double headed pterygium excision followed by
superior and inferior sutureless conjunctival autografts
Materials and Methods: A retrospective study of the patients operated for double headed pterygium
was done between 1st June 2018 and 30th June 2019 at a tertiary care hospital of southern Rajasthan.
A detailed history was taken including age, sex, occupation, duration of pterygium, history of chemical
injuries, medical and surgical history. Unaided visual acuity was noted with a Snellen’s distant vision
chart. Depending on the extent of corneal involvement the pterygium was graded as follows: Grade Icrossing
the limbus, Grade II-midway between the limbus and pupil, and Grade III-crossing the pupillary
margin. Routine blood investigations along with bleeding time (BT) and clotting time (CT) were accessed.
All the surgeries were done by a single surgeon. A superior and an inferior conjunctival autografts were
taken.
Results: A total of 14 patients with primary double headed pterygium were operated by a single surgeon
using the above mentioned technique. Retrospective analysis was done. 13(92.86%) patients were affected
unilaterally and 1(7.14%) patient had bilateral double headed pterygium. 11(78.5%) out of 14 were male
and 3(21.5%) were female. Mean age of patients was 46.5 15.5 years. Out of 15 nasal pterygia, 2(13.3%)
were grade-I, 9(60%) were grade-II and 4(26.6%) were grade-III. Out of 15 temporal pterygia, 6(40%)
were grade-I, 6(40%) were grade-II and 3(20%) were grade-III. Mean follow-up was 12+6 months. No
significant intra-operative complications were noted. Post-operative vision improvement was recorded at 3
month follow-up with a Snellen’s distant vision chart. An average of 3+2 Snellen’s lines improvement
was noted in unaided vision. Most common post-operative complication was graft oedema in 9 grafts out
of 30 (30%). Graft retraction was found in 2 grafts (6.66%).Sub-conjunctival haematoma was found in 1
graft (3.3%). Graft loss was found in 1 graft.

Keywords: Double headed pterygium, Inferior conjunctival autograft, Pterygium surgery.


How to cite : Punjabi S , Patel N , Bhutna K , Outcome of double headed pterygium surgeries with conjunctival autograft adhered by autologous blood: a retrospective study. Indian J Clin Exp Ophthalmol 2020;6(2):240-243

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