PP322 : No suture no glue CLAG of 2 clock hours following pterygium excision in a rural based population

Dr.MADHURA KALMADI SHRIKANTH

This is a prospective interventional study conducted at a rural based medical college to analyse surgical outcome of no suture no glue CLAG of 2 clock hrs following pterygium excision. 36 eyes of 36 patients of both sexes, between 35-60 yrs , having primary pterygium were included. All cases examined and documented using slitlamp photography. Pterygium excision done under topical anaesthesia using proparcaine eye drops & sub pterygial 2% xylocaine injection. After excision,1 mm thin strip of CLAG of 2 clock hrs harvested​ superotemporally & placed in area of pterygium excision. Eye bandaged for 24 hrs treated postoperatively with steroid- antibiotic drops & 1%CMC drops. Patients followed on 1,3,7 post op days,then at 1,3&6 months.

Results:2 patients had recurrence after 2 months, 3 had graft edema , 2graft hemorrhage which subsided subsequently​& no graft loss.

Conclusion:small CLAG of 1mm width which includes rhyteds of stem cells are enough to prevent pterygium recurrence.