ANCHORED CONJUNCTIVAL ROTATION FLAP VS CONJUNCTIVAL AUTOGRAFT TECHNIQUE IN PRIMARY PTERYGIUM SURGERY AT COMBINED MILITARY HOSPITAL, PESHAWAR

ABSTRACT Objective: To compare the frequency of complications and recurrence rate among two different techniques used in primary pterygium surgery(anchored conjunctival rotation flap and autograft technique). Study Design: Comparative prospective study. Place and Duration of Study: Study was conduct...

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Bibliographic Details
Published inPakistan Armed Forces medical journal Vol. _; no. 4; p. 1109
Main Authors Kinza Shakil, Zaheer Uddin Babar, Zulfiqar Uddin Syed, Akbar, Bushra, Halim, Farhan, Halim, Adnan
Format Journal Article
LanguageEnglish
Published Rawalpindi Knowledge Bylanes 31.08.2020
AsiaNet Pakistan (Pvt) Ltd
Subjects
Age
Cornea
Edema
Females
Gender
Hospitals
Males
Methods
Patients
Surgery
Surgical techniques
Sutures
Transplantation
United States > US
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Summary:ABSTRACT Objective: To compare the frequency of complications and recurrence rate among two different techniques used in primary pterygium surgery(anchored conjunctival rotation flap and autograft technique). Study Design: Comparative prospective study. Place and Duration of Study: Study was conducted at Combined Military Hospital(CMH), Peshawar, over a period of 6 month(September 2016 to March 2017). Methodology: All the patients reporting for elective primary pterygium surgery were considered for the study. sixty(60) patients presenting with primary pterygium characterized with corneal invasion, measured from corneal limbus, of at least 4mm in size consented study. Patients were divided into two groups and assigned to either of the surgical technique i.e., anchored conjunctival rotation flap(group A) or Autograft technique(group B) in 1:1 ratio. Surgery was performed by a dedicated surgeon and outcomes were recorded on first postoperative day followed by reassessment at every 1, 2, 4 and 8 weeks. All the patients were followed up for 12 months post-operatively for assessing recurrence of pterygium. Results: Before surgery, the baseline characteristics were similar for both the groups. After 8 weeks of follow-up, the comparison revealed that the major complication of pterygium surgery i.e. edema, was statistically significantly more common among patients belonging to autograft group as compared to rotation flap group(63.3% vs 16.6%, p<0.002). On the other hand, no significant difference was observed in recurrence rate among two techniques(3.3% vs 6.6%, p>0.55). Conclusion: Both the techniques used in primary pterygium surgery were safe for performing a meticulous pterygium excision
ISSN:0030-9648
2411-8842