A COMPARATIVE STUDY OF CONJUCTIVAL AUTOGRAFT IN PRIMARY AND RECURRENT PTERYGIUM IN SOUTHERN PART OF ODISHA

BACKGROUND Pterygium is a wing-shaped growth of fibrovascular conjunctiva on to the cornea. Pterygium surgery is fairly common in our country. The aim of the study is to determine the outcome of conjunctival autograph in primary and recurrent pterygium. MATERIALS AND METHODS This study is a prospective study conducted in Department of Ophthalmology, M.K.C.G. Medical College and Hospital, Berhampur, over a period of two years (October 2015 to September 2017) by performing conjunctival autografting in 94 patients (100 eyes, i.e. 100 cases), out of which, 28 were recurrent type and the remaining 72 were primary progressive pterygia. Outcome measures include visual acuity, intraoperative complications, recurrence of pterygium as per as group and interval of surgical procedure and recurrence. RESULTS Majority of primary and recurrent pterygium age group 31-40 years 39 (39%) followed by 41-50 years 23 (23%). Maximum number of recurrent pterygium found in 20-40 years (21.21%). Males 68 (68%) were more in number than females 32 (32%). At last follow up, 50 (50%) eye had an improvement best corrected visual acuity. In 47 (47%) eyes, visual acuity was unchanged. Recurrence from the primary pterygium group at an average interval of 11 months and 1 (3.5%) developed recurrence after 7 months of surgery from the recurrent pterygium group. CONCLUSION Autogenous conjunctival grafting is a safe, simple procedure. It does not involve loss of tissue and is effective in preventing recurrence