Muhammad Rafiq, Imran Ahmed, Akbar Khan, Zaman Shah, Naimat Ullah Kundi.
Comparison of Results of Pterygium Excision Through Bare Sclera Technique & Conjunctival Autograft.
Ophthalmol Update Jan ;12(1):55-7.

Objective: To study the results of primary pterygium excision through bare sclera technique and conjunctival autograft. Study design: This was an analytical study. Setting and Duration: This study was conducted at Eye A unit, Khyber Teaching Hospital, Peshawar from May,2007 to April,2009. Methodology: One hundred patients with primary pterygium were selected from Ophthalmology Deptt. OPD at Khyber Teaching Hospital, Peshawar. Detailed history was taken. Complete ocular examination done and those fulfilling inclusion criteria were included in the study. Anesthesia used was topical proparacaine 0.5% and local infiltration of 2% lignocaine. In 50 patients, pterygium was excised through bare sclera technique while conjunctival autograft was transplanted in the remaining. Patients were followed up till three months. Results: In bare sclera group, recurrence rate was 70% (35 patients) while in conjunctival autograft group, it was 08% (04 patients).There was one case of conjunctival granuloma in bare sclera group. Conclusion: Pterygium excision through simple bare sclera technique has significantly high recurrence rate as compared to conjunctival autograft transplantation.

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