• Users Online: 220
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2021  |  Volume : 59  |  Issue : 4  |  Page : 359-363

Donor site management in primary pterygium excision with conjunctival autograft – Less is more!


Department of Cornea and Refractive Surgery, Medical Research Foundation, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Ankit Anil Harwani
Department of Cornea and Refractive Surgery, Medical Research Foundation, Chennai - 600 006, Tamil Nadu
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_119_21

Get Permissions

Purpose: The aim of this study is to assess spontaneous healing of the conjunctival donor site after primary pterygium surgery and its implications. Materials and Methods: This was a prospective study of one hundred primary pterygium surgeries with superior conjunctival autografting. Ninety nasal pterygia, eight double-headed pterygia, and two temporal pterygia were included. The conjunctival epithelialization in the donor harvest site, corresponding superior limbal pigmentation, presence of any visible scarring, and mobility of the conjunctiva were documented after the surgery. The patients were reviewed on day 1, day 4, at 1 week, and 1 month after surgery, and then followed up every 4 months for a minimum of 2 years. Mean with standard deviation, percentages, and paired sample t-test were the statistical methods employed in the study. Results: Progressive pterygium with corneal involvement (87%) was the most common indication for surgery. Conjunctival epithelization was complete at the donor site within a week of surgery in all cases. At 1 month, there was no scarring or vascularization at the donor site in any of the cases. The limbus appeared intact with its pigmentation. The healed conjunctiva showed good mobility in all the cases. These were confirmed on anterior segment optical coherence tomography. There were no donor site-related complications. These findings remained stable over 2 years. Conclusion: Not closing the donor harvest area seems to allow spontaneous donor site healing in uncomplicated primary pterygium excision surgery with a superior conjunctival autograft. This avoids in-folding of unequal tissues and resultant scarring. An undisturbed Tenon's layer at the donor site acts as a scaffold for smooth conjunctival healing. The healed conjunctiva remains mobile with an intact limbus.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed120    
    Printed0    
    Emailed0    
    PDF Downloaded13    
    Comments [Add]    

Recommend this journal