Outcome of different techniques of pterygium excision with conjunctival autografting in pediatric population: Our experience in central India.

Abstract

AIM:

To analyze surgical outcome of pterygium excision with conjunctival autografting in pediatric population ≤16 years.

SETTINGS AND DESIGN:

Retrospective case series.

MATERIALS AND METHODS:

A case sheet review of 145 patients (167 eyes) aged ≤16 years consecutively presented with pterygium from April 2008 to August 2014 in the single center was done. Twenty-six eyes of 25 children who underwent pterygium excision with conjunctival autograft were analyzed. Different techniques used to secure conjunctival autograft in a position were multiple interrupted 8-0 vicryl sutures, single 8-0 vicryl suture in the center of graft and sutureless glue free. Outcome measures were a failure of surgery and recurrence.

RESULTS:

Of the total 167 eyes, 26 eyes of 25 children, mean age 13.07 ± 3.08 years (range 7-16 years) were managed surgically with pterygium excision and conjunctival autograft. The rest of the patients were managed conservatively. In 18 eyes, the graft was secured with multiple sutures, in 6 eyes with a single suture, whereas in 2 eyes, sutureless glue-free graft opposition was done. Mean follow-up was 8.03 months. No case of graft retraction, graft dehiscence or graft displacement was found. Recurrence occurred in 6 eyes and managed surgically.

CONCLUSIONS:

Occurrence of pterygium is not uncommon in the pediatric population. A single suture or sutureless glue-free technique may be good alternative for securing conjunctival autograft after pterygium excision in children.

• Authors: Amit R Yadav, Khushbu Ramesh Bhattad, Pradhnya Alok Sen, Elesh Budhendra Jain, Alok Sen, Budhendra K Jain
• Journal: Indian journal of ophthalmology (Indian J Ophthalmol) Vol. 63 Issue 6 Pg. 491-5 (Jun 2015) ISSN: 1998-3689 [Electronic] India
• PMID: 26265638 (Publication Type: Journal Article)

Topics

• Adolescent
• Child
• Child, Preschool
• Conjunctiva (transplantation)
• Female
• Follow-Up Studies
• Humans
• India (epidemiology)
• Male
• Patient Satisfaction
• Postoperative Complications (epidemiology)
• Pterygium (epidemiology, surgery)
• Recurrence
• Retrospective Studies
• Suture Techniques (instrumentation)
• Sutures
• Time Factors
• Transplantation, Autologous
• Treatment Outcome