A Comparative Study of Pterygium Excision Using Autologous Blood versus Sutures; a Study from Remote Eastern Bihar, India

Abstract

Aims: The study was undertaken to assess the surgical modalities for treatment of Pterygium in rural population. Study Design:  Prospective study. Place and Duration of Study: Study was conducted in the Department of Ophthalmology for a period of July to December 2013. Methodology: All the grade 1 and 2 patients between age group 25-50years without any history of diabetes and /or oral anticoagulant agent intake were included in this study while others were excluded. The patients were randomly divided into two groups for pterygium excision with autograft using either autologous blood or sutures. Post operatively, these patients were then observed for presence of pain, irritation and graft failure on day 1, day 7 and 1month. Results: The surgical rate of success was better for sutures compared with autologous blood in rural eastern population. Conclusion: Autologous conjunctival graft with sutures was found to have better outcome in terms of surgical success when compared with a new approach of autologous blood especially in the areas with patients of poor compliance.