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Intra-operative Management of Torn Grafts and Small Grafts in Eyes Undergoing Pterygium Excision with Conjunctival Autografting

Received: 20 September 2021     Accepted: 2 November 2021     Published: 10 November 2021
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Abstract

AIM-To demonstrate intraoperative techniques in managing torn grafts and small grafts in pterygium excision with conjunctival autografting (CAG). METHODS-Fifteen eyes that had graft tear during nasal pterygium excision with CAG and six eyes with small inadequately sized grafts during double head pterygium excision with split conjunctival grafting were included in the study. The graft tears occurred during dissection and the torn grafts were placed as separate pieces to cover the defect completely and in cases of double head pterygia with small graft on one side, a part of the graft from the other side (nasal or temporal) was used to cover the remaining defect. All the grafts were secured using tissue adhesives. RESULTS-Clinical outcomes in all cases were good. The recurrence rate was found to be 4.6%, with recurrence seen in one eye at four months post operatively. Other complications like graft edema and graft necrosis were also similar to those reported in previous literature for routine single head and double head pterygium surgeries. CONCLUSION- In complications like graft tear or small grafts, it is important to utilize the torn graft and part of the other graft in cases of split grafts and carefully resurface the bare area with proper orientation to give an adequate cover, in order to minimize recurrence.

Published in International Journal of Ophthalmology & Visual Science (Volume 6, Issue 4)
DOI 10.11648/j.ijovs.20210604.16
Page(s) 215-218
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Pterygium, Conjunctival Autograft, Double Head Pterygium, Graft Tear

References
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Cite This Article
  • APA Style

    Shreesha Kumar Kodavoor, Soundarya Balajee, Ramamurthy Dandapani. (2021). Intra-operative Management of Torn Grafts and Small Grafts in Eyes Undergoing Pterygium Excision with Conjunctival Autografting. International Journal of Ophthalmology & Visual Science, 6(4), 215-218. https://doi.org/10.11648/j.ijovs.20210604.16

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    ACS Style

    Shreesha Kumar Kodavoor; Soundarya Balajee; Ramamurthy Dandapani. Intra-operative Management of Torn Grafts and Small Grafts in Eyes Undergoing Pterygium Excision with Conjunctival Autografting. Int. J. Ophthalmol. Vis. Sci. 2021, 6(4), 215-218. doi: 10.11648/j.ijovs.20210604.16

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    AMA Style

    Shreesha Kumar Kodavoor, Soundarya Balajee, Ramamurthy Dandapani. Intra-operative Management of Torn Grafts and Small Grafts in Eyes Undergoing Pterygium Excision with Conjunctival Autografting. Int J Ophthalmol Vis Sci. 2021;6(4):215-218. doi: 10.11648/j.ijovs.20210604.16

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  • @article{10.11648/j.ijovs.20210604.16,
      author = {Shreesha Kumar Kodavoor and Soundarya Balajee and Ramamurthy Dandapani},
      title = {Intra-operative Management of Torn Grafts and Small Grafts in Eyes Undergoing Pterygium Excision with Conjunctival Autografting},
      journal = {International Journal of Ophthalmology & Visual Science},
      volume = {6},
      number = {4},
      pages = {215-218},
      doi = {10.11648/j.ijovs.20210604.16},
      url = {https://doi.org/10.11648/j.ijovs.20210604.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20210604.16},
      abstract = {AIM-To demonstrate intraoperative techniques in managing torn grafts and small grafts in pterygium excision with conjunctival autografting (CAG). METHODS-Fifteen eyes that had graft tear during nasal pterygium excision with CAG and six eyes with small inadequately sized grafts during double head pterygium excision with split conjunctival grafting were included in the study. The graft tears occurred during dissection and the torn grafts were placed as separate pieces to cover the defect completely and in cases of double head pterygia with small graft on one side, a part of the graft from the other side (nasal or temporal) was used to cover the remaining defect. All the grafts were secured using tissue adhesives. RESULTS-Clinical outcomes in all cases were good. The recurrence rate was found to be 4.6%, with recurrence seen in one eye at four months post operatively. Other complications like graft edema and graft necrosis were also similar to those reported in previous literature for routine single head and double head pterygium surgeries. CONCLUSION- In complications like graft tear or small grafts, it is important to utilize the torn graft and part of the other graft in cases of split grafts and carefully resurface the bare area with proper orientation to give an adequate cover, in order to minimize recurrence.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Intra-operative Management of Torn Grafts and Small Grafts in Eyes Undergoing Pterygium Excision with Conjunctival Autografting
    AU  - Shreesha Kumar Kodavoor
    AU  - Soundarya Balajee
    AU  - Ramamurthy Dandapani
    Y1  - 2021/11/10
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    DO  - 10.11648/j.ijovs.20210604.16
    T2  - International Journal of Ophthalmology & Visual Science
    JF  - International Journal of Ophthalmology & Visual Science
    JO  - International Journal of Ophthalmology & Visual Science
    SP  - 215
    EP  - 218
    PB  - Science Publishing Group
    SN  - 2637-3858
    UR  - https://doi.org/10.11648/j.ijovs.20210604.16
    AB  - AIM-To demonstrate intraoperative techniques in managing torn grafts and small grafts in pterygium excision with conjunctival autografting (CAG). METHODS-Fifteen eyes that had graft tear during nasal pterygium excision with CAG and six eyes with small inadequately sized grafts during double head pterygium excision with split conjunctival grafting were included in the study. The graft tears occurred during dissection and the torn grafts were placed as separate pieces to cover the defect completely and in cases of double head pterygia with small graft on one side, a part of the graft from the other side (nasal or temporal) was used to cover the remaining defect. All the grafts were secured using tissue adhesives. RESULTS-Clinical outcomes in all cases were good. The recurrence rate was found to be 4.6%, with recurrence seen in one eye at four months post operatively. Other complications like graft edema and graft necrosis were also similar to those reported in previous literature for routine single head and double head pterygium surgeries. CONCLUSION- In complications like graft tear or small grafts, it is important to utilize the torn graft and part of the other graft in cases of split grafts and carefully resurface the bare area with proper orientation to give an adequate cover, in order to minimize recurrence.
    VL  - 6
    IS  - 4
    ER  - 

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Author Information
  • Cornea, Cataract and Refractive Services, The Eye Foundation, Coimbatore, India

  • Cornea, Cataract and Refractive Services, The Eye Foundation, Coimbatore, India

  • Cataract and Refractive Services, The Eye Foundation, Coimbatore, India

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