~ 10 ~ International Journal of Medical Ophthalmology 2022; 4(1): 10-13 E-ISSN: 2663-8274 P-ISSN: 2663-8266 www.ophthalmoljournal.com IJMO 2022; 4(1): 10-13 Received: 07-11-2021 Accepted: 09-12-2021 Dr. Sayed Aejaz Hussein Sankara Eye Hospital, Ludhiana, Punjab, India Dr. Pritish Gupta Baba Farid University, Ludhiana, Punjab, India Dr. Manoj Gupta Sankara Eye Hospital, Ludhiana, Punjab, India Corresponding Author: Dr. Sayed Aejaz Hussein Sankara Eye Hospital, Ludhiana, Punjab, India A study on stability of conjunctivo limbal autograft with autologous serum in pterygium excision surgery Dr. Sayed Aejaz Hussein, Dr. Pritish Gupta and Dr. Manoj Gupta DOI: https://doi.org/10.33545/26638266.2022.v4.i1a.105 Abstract Pterygium surgery has evolved a lot with newer technigues to help create better postoperative outcomes, to make the surgery time less consuming, to have fewer complications and to provide more better postoperative comfort to the patient. Our study is based on one of this new techniques of Conjuctivo Limbal Autograft with autologous serum which is comparatively less time consuming compared to its is precedessors and is a sutureless and glueless technique. The aim of the study is to find the safety, efficacy and relation of stability of intraoperative grafts (graft fixation) with their postoperative outcomes. We found that intra operative stable grafts to provide good results postoperatively having major displacement of only 1.15%.thus making this technique a faster, stable and economical technique for the patients and the doctors. Keywords: pterygium, conjuctivo limbal autograft, stable graft Introduction One of the common extra ocular procedures being performed in ophthalmic practice is the pterygium excision with graft placement. Pterygium is the second most common conjunctival degeneration seen. It is a wing shaped fibrovascular tissue encroachment on the cornea. It is usually on the nasal side, but can be present temporally also. Most common incidence is in areas with excess ultraviolet radiation such as tropical areas, places closer to equator [1] . Dry climate and outdoor lifestyle are also found to be risk factors. Excision being the treatment of choice, Pterygium surgery is perhaps second most common surgery being performed by general ophthalmologists. However, a simple excision is notorious for a recurrence. Bare sclera technique shows a high recurrence rate of 89% [2] . Hence the procedure has been undergoing a constant evolution with better options with more favorable outcomes being available today. Current methods to prevent or reduce rate of recurrence are amniotic membrane transplant, conjunctival transposition flap and conjunctival/ conjunctivo limbal autograft placement [3-5] . Conjunctival sutures, which is a commonly practiced method for graft fixation in pterygium surgery are not only time-consuming, but also may lead to local complications such as discomfort, pain, foreign body sensation, hemorrhage [6] . Other graft fixation techniques like, Plasma-derived products like fibrin glue may cause hypersensitivity reactions as well the risk of viral transmission which is theoretically possible. Here, in our study, we describe a simple method of achieving conjunctival autograft adherence during pterygium surgery avoiding potential complications associated with the use of fibrin glue or sutures. In the present study, we have retrospectively studied the safety, efficiency and rate of recurrence of conjunctival auto graft secured with glue less and suture less technique of autologous blood assisted graft fixation in pterygium excision surgery. Methods This is a retrospective, interventional study performed at a tertiary eye center. Medical records of patients with pterygium were reviewed to study the effectiveness of autologous serum in graft fixation after pterygium excision with autologous conjunctivo limbal transplant. This study includes 520 eyes of patients with primary pterygium operated in the three years (2018-2020). Exclusion criteria included unwilling patients, recurrent pterygium and history of any known bleeding disorders. Patients' data included age, sex, past ocular, medical and surgical history, visual acuity before and after surgery, surgical method and time for graft adhesion, operation time, complications, intra operative stability of graft, postoperative medications, postoperative assesment, recurrence.