The purpose of this study is to examine the recurrence rate and consequences of primary pterygium surgery employing a conjunctival flap vs an autograft.
Methods: At AL-Hussain teaching hospital in Kerbala, a total of 70 patients (thirty males and forty females) were operated on for primary pterygium utilising conjunctival autografts (36 eyes) or conjunctival flaps (34 eyes) with an 18-month follow-up. Patients were asked to examine their ocular surface state on their own time.
The average age of the participants was 43.5 years (range 21-70) Males made up 42.65% of the patients, and 70% of them worked largely outside. The average follow-up time was 12 months (3-18).
The graft recurrence rate was 8.3 percent, while the flap recurrence rate was 8.8 percent; however, the graft had greater oedema, while the flap had no granuloma.
Conclusions: Despite the fact that autograft surgery is a longer procedure with higher postoperative oedema, there were no statistically significant differences in recurrence rates after this extended follow-up period for conjunctival flap and autograft procedures.Author(S) Details
Imad Salih Mehdy
Department of Ophthalmology AL-Hussain Teaching Hospital, Kerbala, Iraq.
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