A prospective observational study on the effectiveness of pterygium excision with limbal conjunctival autograft transplantation and recurrence in patients of primary pterygium

Dibyendu Dhali; Nabanita Barua; Sanjay Kumar Daulat Thakur; Debabrata Das; Pramit Ghosh; Ranjita Santra

doi:10.5455/njppp.2023.13.06325202308082023

2024, Vol: 14, Issue: 4

14 / 4Current Issue Online First Archive Aims and Scope Abstracting & Indexing Most Accessed Articles Most Downloaded Articles Most Cited Articles

Required files to be uploaded

Authorship Declaration

« Previous Article

Original Research

Online Publishing Date:
21 / 08 / 2023

Natl J Physiol Pharm Pharmacol. 2024; 14(3): 444-449

doi: 10.5455/njppp.2023.13.06325202308082023

A prospective observational study on the effectiveness of pterygium excision with limbal conjunctival autograft transplantation and recurrence in patients of primary pterygium

Dibyendu Dhali, Nabanita Barua, Sanjay Kumar Daulat Thakur, Debabrata Das, Pramit Ghosh, Ranjita Santra.

Abstract
Background: Pterygium is a degenerative and hyperplastic process with abnormal fibrovascular proliferation. Surgery is the treatment of choice in progressive or symptomatic cases but recurrence is a concern.

Aims and Objective: We aim to evaluate the effectiveness of pterygium excision and conjunctival autograft (done by post-graduate trainees in the 2nd and 3rd year of residency under supervision) and recurrence of this process in a tertiary care setup.

Materials and Methods: It is a single-centric prospective observational study. 50 patients who underwent pterygium excision with conjunctival autografting surgery in a tertiary care hospital were followed up for 1 year. Patients were evaluated on day 1, day 7, 1 month, 6 months, and 1 year. Efficacy and graft stability were assessed on day 7 and 1 month; 6 months and 1 year for recurrence and the factors associated with it.

Results: Total number of patients was 50; 31 were female, and 19 were male. All cases were effectively managed with excision and autograft. Post-operatively, 13 (26%) patients had shown suture loosening, 17 (34%) patients had graft edema, and 13 (26%) patients had post-operative recurrence. Out of 13 patients, 8 patients had mild recurrence, 4 patients had moderate recurrence, and 1 patient had severe recurrence. Graft stability is significantly associated with suture loosening (P < 0.05). There is no association between the extent and grade of pterygium (P > 0.05). Recurrence was statistically highly associated with (P < 0.0001) suture loosening.

Conclusion: We conclude that autografting is an effective technique. Intraoperative proper suturing technique and minimal tissue manipulation can minimize recurrence.

Key words: Conjunctival Autograft; Recurrence; Effectiveness Of Autografting

	ARTICLE TOOLS
	Abstract
	PDF Fulltext
	How to cite this article
	Citation Tools
	Related Records
	Articles by Dibyendu Dhali Articles by Nabanita Barua Articles by Sanjay Kumar Daulat Thakur Articles by Debabrata Das Articles by Pramit Ghosh Articles by Ranjita Santra
	on Google
	on Google Scholar

How to Cite this Article

Pubmed Style

Dhali D, Barua N, Thakur SKD, Das D, Ghosh P, Santra R. A prospective observational study on the effectiveness of pterygium excision with limbal conjunctival autograft transplantation and recurrence in patients of primary pterygium. Natl J Physiol Pharm Pharmacol. 2024; 14(3): 444-449. doi:10.5455/njppp.2023.13.06325202308082023

Web Style

Dhali D, Barua N, Thakur SKD, Das D, Ghosh P, Santra R. A prospective observational study on the effectiveness of pterygium excision with limbal conjunctival autograft transplantation and recurrence in patients of primary pterygium. https://www.njppp.com/?mno=153796 [Access: March 14, 2024]. doi:10.5455/njppp.2023.13.06325202308082023

AMA (American Medical Association) Style

Dhali D, Barua N, Thakur SKD, Das D, Ghosh P, Santra R. A prospective observational study on the effectiveness of pterygium excision with limbal conjunctival autograft transplantation and recurrence in patients of primary pterygium. Natl J Physiol Pharm Pharmacol. 2024; 14(3): 444-449. doi:10.5455/njppp.2023.13.06325202308082023

Vancouver/ICMJE Style

Dhali D, Barua N, Thakur SKD, Das D, Ghosh P, Santra R. A prospective observational study on the effectiveness of pterygium excision with limbal conjunctival autograft transplantation and recurrence in patients of primary pterygium. Natl J Physiol Pharm Pharmacol. (2024), [cited March 14, 2024]; 14(3): 444-449. doi:10.5455/njppp.2023.13.06325202308082023

Harvard Style

Dhali, D., Barua, . N., Thakur, . S. K. D., Das, . D., Ghosh, . P. & Santra, . R. (2024) A prospective observational study on the effectiveness of pterygium excision with limbal conjunctival autograft transplantation and recurrence in patients of primary pterygium. Natl J Physiol Pharm Pharmacol, 14 (3), 444-449. doi:10.5455/njppp.2023.13.06325202308082023

Turabian Style

Dhali, Dibyendu, Nabanita Barua, Sanjay Kumar Daulat Thakur, Debabrata Das, Pramit Ghosh, and Ranjita Santra. 2024. A prospective observational study on the effectiveness of pterygium excision with limbal conjunctival autograft transplantation and recurrence in patients of primary pterygium. National Journal of Physiology, Pharmacy and Pharmacology, 14 (3), 444-449. doi:10.5455/njppp.2023.13.06325202308082023

Chicago Style

Dhali, Dibyendu, Nabanita Barua, Sanjay Kumar Daulat Thakur, Debabrata Das, Pramit Ghosh, and Ranjita Santra. "A prospective observational study on the effectiveness of pterygium excision with limbal conjunctival autograft transplantation and recurrence in patients of primary pterygium." National Journal of Physiology, Pharmacy and Pharmacology 14 (2024), 444-449. doi:10.5455/njppp.2023.13.06325202308082023

MLA (The Modern Language Association) Style

Dhali, Dibyendu, Nabanita Barua, Sanjay Kumar Daulat Thakur, Debabrata Das, Pramit Ghosh, and Ranjita Santra. "A prospective observational study on the effectiveness of pterygium excision with limbal conjunctival autograft transplantation and recurrence in patients of primary pterygium." National Journal of Physiology, Pharmacy and Pharmacology 14.3 (2024), 444-449. Print. doi:10.5455/njppp.2023.13.06325202308082023

APA (American Psychological Association) Style

Dhali, D., Barua, . N., Thakur, . S. K. D., Das, . D., Ghosh, . P. & Santra, . R. (2024) A prospective observational study on the effectiveness of pterygium excision with limbal conjunctival autograft transplantation and recurrence in patients of primary pterygium. National Journal of Physiology, Pharmacy and Pharmacology, 14 (3), 444-449. doi:10.5455/njppp.2023.13.06325202308082023

Author Login Reviewer Login About Publisher Editorial Policies Editorial Review Policy Peer Review Policy Editorial & Peer Review Process Publication Ethics and Publication Malpractice Statement Conflict of Interest Policy Plagiarism Policy Protection of Research Participants (Statement On Human And Animal Rights)Corrections, Retractions & Expressions of Concern Self-Archiving Policies Statement of Informed Consent Advertising Policy Terms of Use License Information Copyright Information

About National Journal of Physiology, Pharmacy and Pharmacology

Contact Information

How to cite this article


About National Journal of Physiology, Pharmacy and Pharmacology National Journal of Physiology, Pharmacy and Pharmacology is a monthly peer reviewed journal. The journal is having open access polic ... Read more. For best results, please use Internet Explorer or Google Chrome.	Contact Information Publisher publishernjppp@gmail.com Editorial query editornjppp1@gmail.com MOB - 8780040272