Veerendra Bhimashankar Atnoor, Sachin Sundarrao Pandhare, Sonali Ashok Bhosale
BACKGROUND This study aims to evaluate the surgical treatment of pterygium by pterygium excision with conjunctival autografting without glue without sutures and preoperative subconjunctival injection of 5-fluorouracil with bare sclera technique. MATERIALS AND METHODS Sixty eyes of 60 consecutive patients with primary progressive pterygium were selected, who presented to our hospital with primary progressive pterygium. Group A consisted of pterygium excision with conjunctival autografting without glue without suture and Group B consisted of sub conjunctival injection of 5-fluorouracil, one day before pterygium excision with bare sclera technique. Thirty patients were included in each group and a comparison was made between these groups. Patients were followed up from at least 6 months to 18 months. RESULTS Recurrence rate of pterygium after conjunctival autografting without glue without suture was zero % with average duration of follow up 11.70 +/- 3.14 months and recurrence rate in bare sclera technique with preoperative 5-fluorouracil found was 6.6% with average duration of follow up 10.53 +/- 3.53 months. CONCLUSION Both the methods i.e. conjunctival autografting without glue without suture and subconjunctival injection of 5-FU one day before pterygium excision with bare sclera technique are useful alternatives for treatment of pterygium but conjunctival autografting without glue without suture is marginally superior to subconjunctival injection of 5-FU one day before pterygium excision with bare sclera technique in terms of recurrence rate and complications.
