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New Small Incision Approach to Pterygium Surgery

DOI : https://doi.org/10.36349/easms.2021.v04i02.002
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Abstract: Aim: Benefits of new surgical technique for pterygium excision and access the postoperative pain and surgical time. Material and Methods: This study was conducted at Dr. RML Hospital, New Delhi. Complete history and eye examination was recorded. The diagnosis of pterygium was made on clinical judgment. All the pterygiums were examined with the help of slit lamp to check the vascularity, encroachment towards the cornea and congestion. The pterygium was surgically excised and autologous conjunctival graft was taken from the superiotemporal limbus, was utilized to cover the sclera after the pterygium excision. No suture or glue is used to fix the conjunctiva to cover the bare sclera. Follow up period was upto 6 months. Intraopertive and postoperative pain was measured according to the visual analogue scale (VAS). The surgical time was noted from the very first surgical incision till the eye lid speculum was removed. Results: In this study 30 patients were enrolled; out of which 15 patients were male and 15 patients were female, thus the male to female ration was 1:1. Graft was in position in 100% cases on 1st post operative day. No recurrence was found till 6 months follow up period. Conclusion: Cut and spread without suture or glue for attaching the conjunctival transplant tissue in pterygium surgery causes significant less postoperative pain and shortens the surgical tim.

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Dr. Afroza Begum

Lecturer, Dept. of Pharmacology and Therapeutics, Shaheed Monsur Ali Medical College & Hospital, Uttara, Dhaka-1230, Bangladesh

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