Purpose: To evaluate outcome of Sutureless and Glue free Conjunctival Autograft (CAG) in primary pterygium Surgery

Study Design: A retrospective study

Materials and Methods: 42-Consecutive cases underwent pterygiun excision with conjunctival autograft without suture and glue from March 2017 to December 2017 was included in the study. Data obtained from medical records of patients suffering from primary pterygium treated by pterygium excision with conjunctival autograft (CAG) without use of sutures and fibrin glue. Surgical outcome in terms of recurrence of pterygium , Graft dislodgment, Graft  retraction, graft necrosis  and other complications of sutureless glueless conjunctival autograft in pterygium excision.

Results: The mean age of study group was 44.73 +/- 8.6 SD (32-75years). Male and Female ratio of study group was 2.5:1 (30:12). Surgery was performed more in left eye (54.76%) as compared to right eye (45.23%). Post operative recurrence of pterygium was observed in 1 case (2.3%), graft retraction was noted in 4 cases (9.5%) and 2 cases (4.7%) developed granuloma. 1 case had graft dislodgment/loss.

Conclusion: Sutureless and glue free conjunctival autograft in primary pterygium surgery is an easy and cost effective method.

Keywords: Pterygium, Sutureless, Gluefree, Conjunctival autograft.

1. Duke-Elder S. Leigh AG. in: Duke-Elder S (Eds.)., System of Ophthalmology, Vol.8, Henry Kimpton Publishers, London 1965, pp. 573-585
2. Asokan R, Venkatasubbu RS, Velumuri L, Lingam V, George R. Prevalence and associated factors for pterygium and pinguecula ina South Indian population. Ophthalmic Physiol Opt, 2012; 32: 39-44.
3. Gupta VP. Conjunctival transplantation for pterygium DJO, 1997; 5: 5–12
4. Malik KPS, Goel R, Gupta A, et al. Efficacy of sutureless and glue free limbal conjunctival autograft for primary pterygium surgery. Nepal J Ophthalmol, 2012; 4: 230-35.
5. Wit D, Athanasiadis I, Sharma A, Moore J. Sutureless and glue-free Conjunctival autograft in pterygium surgery: a case series. Eye, 2010; 24: 1474-1477.
6. Sharma Ashok, Raj Hans, Raina Amit Vikram. Suture Less and Glue Free Limbal Conjunctival Autografting following Pterygium Excision. JK Science. 2015 April; 17(2). 68-72.
7. Dasgupta S, Vats V, Mittal SK. Pterygium excision with suture-free, glue-free conjunctival autograft (SFGF-CAG): Experience of a tertiary care hospital of the Northern India. Indian J Clin Ophthalmol Res 2016;4: 143-8.
8. Rangu RV, Wanjari A, Akhade N. Study of sutureless and glue-free conjunctival autograft. International Journal of Recent Trends in Science And Technology 2014;10:480-82.
9. Rathi G, Sadhu J, Joshiyara P, Ahir, HD, Ganvit SS, Pandya NN, et al. Pterygium Surgery : suture less glue less conjunctival auto grafting. Int J Res Med. 2015;4(1);125-128
10. Bhargava P, Kochar A, Joshi R. A novel technique – Pterygium excision followed by sutureless glueless conjunctival autografting. Acta Medica Scientia 02(06) (2015).
11. Singh PK, Singh S, Vyas C, Singh M. Conjunctival autografting without fibrin glue or sutures for pterygium surgery. Cornea 2013;32:104-7.
12. Shaw J, Hirst LW, Mitra S, Moore JE. A New Approach Emerges for Pterygium Surgery. EyeNet Magazine. Clinical update. Cornea. American Academy of Ophthalmology. Feb 2012; Eye net; 27-29.
13. Nanda L, Shivakumar MW. Autologous Blood as Tissue Adhesive for Conjunctival Autograft in Primary Nasal Pterygium Surgery. Available from: h p://www.medicainnovatica.org/2013-Dec%20 Issue/32.pdf.
14. Tan D (1999). Conjunctival grafting for ocular surface disease. Curr Opin Ophthalmol 10: 277- 81.

Dr Rishi Gupta

Senior Resident, Sankara Nethralaya, Kolkata, India

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.