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ORIGINAL ARTICLE
Year : 2019  |  Volume : 12  |  Issue : 3  |  Page : 166-170

Long-term analysis of an unconventional way of doing double-head pterygium excision


1 Cornea and Refractive Services, The Eye Foundation, Post Graduate Institute of Ophthalmology, Coimbatore, Tamil Nadu, India
2 Cornea and Refractive Services, The Eye Foundation, Coimbatore, Tamil Nadu, India
3 The Eye Foundation, Coimbatore, Tamil Nadu, India

Correspondence Address:
Dr. Shreesha Kumar Kodavoor
Department of Cornea and Refractive Services, The Eye Foundation, 582 A, D. B. Road, R. S. Puram, Coimbatore - 641 002, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ojo.OJO_69_2017

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AIM: The aim of the study is to describe an unconventional technique of vertically split conjunctival autograft (CAG) for primary double-head pterygium and its long-term outcome. MATERIALS AND METHODS: This was a retrospective, noncomparative, interventional case series of 95 eyes of 95 patients, who underwent vertical, split CAG surgery without maintaining limbus–limbus orientation for primary double-head pterygium from January 2013 to January 2017. All patients were reviewed for recurrence in their follow-up period. RESULTS: The mean follow-up was 14.12 ± 9.42 months. The baseline characteristics included 44 males and 51 females, with a mean age of 56.24 ± 10.03 years. The only significant complication was recurrence rate of 2.10% (2 eyes out of 95). The most common secondary outcome was graft edema (36.84%, 35 eyes out of 95), which resolved without any intervention. The other outcomes such as graft retraction (12.63%), Tenon's granuloma (1.05%), and subconjunctival hemorrhage (34.73%) were also recorded. CONCLUSION: Unconventional vertical split CAG without maintaining limbus–limbus orientation has convincing results in treating double-head pterygium with lower recurrence rate.


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