Abstract :
Purpose: To assess the results of sutureless and glue-free blood clot fixation of conjunctival autograft after
primary pterygium excision.
Materials and Methods: A total of 94 eyes of 91 patients were operated by 3 residents. All eyes underwent
primary pterygium excision followed by conjunctival autografting. The recipient bed was encouraged to
achieve natural haemostasis and blood clot was used as tissue adhesive to secure conjunctival autograft.
Graft adherence and positioning was examined after 15 min.
Results: After surgery, out of total 94 eyes (n), graft edema developed in 22 eyes (23.4%), sub graft
hematoma in 4 eyes (4.3%), graft loss in 2 eye (2.1%), granuloma formation in 1 eye (1.1%), and avascular
patch in 1 eye (1.1%).
Conclusions: Sutureless and glue-free pterygium excision with autologous conjunctival autograft is a
simple and safe surgery even in the hands of residents. It provides excellent cosmesis and reasonable patient
satisfaction.
Keyword :
 Pterygium, Resident, Sutureless.