COMPARISON BETWEEN SURGICAL OUTCOME OF SUTURELESS GLUE FREE VERSUS SUTURED LIMBAL CONJUNCTIVAL AUTOGRAFT IN PRIMARY PTERYGIUM SURGERY

Objectives of the study: To compare the surgical outcome between suture less glue free versus sutured limbal conjunctival autograft in primary pterygium excision surgery. The study was conducted on a Material and Methods: sample size of 100 patients out of which 50 patients underwent suture less glue free technique and 50 patients underwent sutured technique of conjunctival limbal autograft for primary pterygium excision. No signicant differenc Results: e was found in degree of postoperative haemorrhage under graft between the groups (p = 0.593 and p = 0.603, on the rst day and rst month respectively. None at 3rd month follow up. The degree of inammation was signicantly less in sutureless glue free group than with sutures on rst day (p=0.0000) postoperatively. No signicant difference was found in rst month (p=0.387) and third month (p=0.315). Conjunctival grafts secured with suturefree gluefree were as stable as those secured with sutures namely, p=0.603, p=0.695 and p=1.0000 on rst day, rst month and third month respectively. Degree of post-operative discomfort was signicantly less in sutureless gluefree group than in sutures as observed in the values p=0.0000, p=0.023 on rst day and rst month respectively. No discomfort was reported in third month follow up in either group. We conclude from our study that conjunctival limbal autografts secured with sutureless glue free technique during pterygium surgery not only was as stable as those secured with sutures, but also produce signicantly less inammation and discomfort. Sutureless glue free CLAG can be recommended as it is easy, safe, effective and prevents potential adverse reactions like hypersensivity reactions encountered with the use of foreign materials like glue