Abstract
STUDY OF SURGICAL OUTCOMES OF CONJUCTIVAL AUTOGRAFT IN THE RECONSTRUCTION OF OCULAR SURFACE DEFECTS USING FIBRIN GLUE.

Dr. Manjunath Natarajan, *Dr. H. N. Sowbhagya, Dr. K. Sneha, Dr. P. Santhosh, Dr. Deepthi U. S.,
Dr. Divya B.

ABSTRACT

Objective: To study & assess the use of CA done using fibrin glue in: 1) Reconstructing ocular surface defects & postoperative cosmesis. 2) Prevention of recurrences of the pathology, 3) Reduction of postoperative complications. Design of the study: Prospective, interventional case series study, conducted from Jan 2006 to Dec 2014. Setting: Institutional study, done at Kempegowda Institute of Medical Sciences, Bangalore. Participants/Materials and methods: Ten eyes of nine patients who visited the outpatient department with various ocular surface disorders were selected randomly. All underwent CA done using fibrin glue (RelisealTM) following surgical excision of the pathology. Eight eyes were of recurrent pterygia, one eye of malt lymphoma of size 12mm x 10mm & one case of combined naevus 8mm x 6mm. Follow up ranged from 3 to 8 years (Jan 2006 to Dec 2014). Outcomes: All the cases showed good ocular surface reconstruction & showed no recurrences over the follow up period. Results: Eight eyes with recurrent pterygia, satisfying the inclusion criteria underwent pterygium excision with CA using fibrin glue. A case with malt lymphoma of the conjunctiva in a single eye underwent CA with fibrin glue after total excision of the malt lymphoma. A case of single eye combined naevus of limbus in a single eye also underwent total excision with CA using fibrin glue. Success was achieved in 100% of the cases with respect to prevention of recurrences & 90% with respect to cosmetic surface reconstruction. Conclusion: CA done using fibrin glue resulted in the effective management of ocular surface defects following the excision of various conjunctival pathologies.

Keywords: conjunctival auto graft, recurrent pterygium, malt lymphoma, limbal combined naevus, fibrin glue.


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