Aswani Kumar, Dinesh Gupta



Background: Pterygium is a triangular wing shaped fibrovascular growth of subconjunctival tissue on to the cornea. Surgical removal is the treatment of choice but no single technique is successful due to high recurrence rate.

Aim: To evaluate the success and complications of sutureless glue-free conjunctival-limbal autografting in management of primary pterygium.

Materials and Methods: A prospective interventional study was carried out in 60 patients to analyse the outcome of sutureless and glue-free conjunctival-limbal autograft for the management of primary nasal pterygium. The patients were followed up after 1 week, 3 weeks, 6 weeks and at 3 months postoperatively. The mean age of the patients was 38.28± 13.77 years (range 21-67), 55% of which were females. Graft retraction occurred in 3(5%) eyes. Haemorrhage was seen in 20(33.33%) eyes at 24 hours, which persisted in only 8(13.33%) eyes at 3 weeks and resolved completely in 100% of eyes at 6 weeks. Oedema was noted in 5(8.33%) eyes at 24 hours, and resolved completely by 1 week. Recurrence of pterygium was observed in 2(3.33%) eyes at three months of follow-up.

Conclusion: Sutureless and glue-free conjunctival-limbal autograft following pterygium excision is an easy, quick, safe, effective, and economical option for the management of primary pterygium

Full Text:



Oldenburg JB, Garbus J, McDonnell JM, McDonnell P. Conjunctival pterygia: Mechanism of corneal topographic changes. Cornea 1990;9:200-04.

Asokan R, Venkatasubbu RS, Velumuri L, Lingam V, George R. Prevalence and associated factors for pterygium and pinguecula in South Indian population. Ophthalmic Physiol Opt 2012;32:39-44.

Gupta VP. Conjunctival transplantation for pterygium. DJO 1997;5:5-12

Kunitomo N, Mori S. Studies on the pterygium: A treatment of the pterygium by mitomycin C instillation. Acta Soc Ophthalmol Jpn 1963;67:601-07.

Mahar PS, Nwokora GE. Role of mitomycin C in pterygium surgery. Br J Ophthalmol 1993;77:433-35.

Kenyon KR, Wagoner MD, Hettinger ME. Conjunctival autograft transplantation for advanced and recurrent pterygium. Ophthalmology 1985;92:1461-70.

Malik KP, Goel R, Gutpa A, Gupta SK, Kamal S, Mallik VK. Efficacy of sutureless and glue-free limbal conjunctival autograft for primary pterygium surgery. Nepal J Ophthalmol 2012;4:230-35.

Dorfman HS, Kennedy JE, Bird WC. Longitudinal evaluation of free autogenous gingival grafts, a four year report. J Periodontol 1982;53:349-52.

Koranyi G, Seregard S, Kopp ED. Cut and paste: A no suture, small incision approach to pterygium surgery. Br J Ophthalmol 2004;88:911-14.

Gilmore OJ, Reid C. Prevention of intraperitoneal adhesions: A comparison of noxythiolin and a new povidone iodine/PVP solution. Br J Surg 1979;66:197-99.

Allan BD, Short P, Crawford GJ, Barrett GD, Constable IJ. Pterygium excision with conjunctival autografting: an effective and safe technique. Br J Ophthalmol 1993;77:698-701.

Tan D. Conjunctival grafting for ocular surface disease. Curr Opin Ophthalmol 1999;10:277-81.

Wit D, Athanasiadis I, Sharma A, Moore J. Sutureless and glue-free Conjunctival autograft in pterygium surgery: a case series. Eye 2010;24:1474-77.

Hayasaka S, Noda S, Yama moto Y, Setogawa T. Postoperative instillation of low-dose mitomycin-C in the treatment of primary pterygium. Am J Ophthalmol 1988;106:715-18.

Starck T, Kenyon KR, Serrano F, Conjunctival autograft for primary and recurrent pterygia: Surgical technique and problem management Cornea 1991 10:196-202.

Adamis AP, Starck T, Kenyon KR. The management of pterygium. Ophthalmol Clin North Am 1990;3:611-23.

Dunn JP, Seamone CD, Ostler HB,Nickel BL, Beallo A. Development of scleral ulceration and calcification after pterygium excision and mitomycin therapy (Letter). Am J Ophthalmol 1991;112:343-44.

Ti SE, Chee SP, Dear KB, Tan DT. Analysis of variation in success rates in conjunctival autografting for primary and recurrent pterygium. Br J Ophthalmol 2000;84:385-89.

Suzuki T, Sano Y, Kinoshita S. Conjunctival inflammation induces Langerhans’ cell migration into the cornea. Curr Eye Res 2000;21:550-53.

Kim HH, Mun JH, Park YJ, Lee KW, Shin PJ. Conjunctivolimbal autograft using a fibrin adhesive in pterygium surgery. Korean J Ophthalmol 2008;22:147-54.

Elwan SAM. Comparison between sutureless and glue-free versus sutured limbal conjunctival autograft in primary pterygium surgery. Saudi Journal of Ophthalmology 2014;28:292-98.

Xu F, Li M, Yan Y, Lu K, Cui L, Chen Q. A novel technique of sutureless and glueless conjunctival autografting in pterygium surgery by electrocautery pen. Cornea 2013 ;32:290-95.

Sharma A, Raj H, Raina AV. Suture less and Glue free Limbal Conjunctival Autografting following pterygium excision. JK Science 2015;17:68-72.

Sharma A, Raj H, Gupta A, Raina AV. Sutureless and Glue-free Versus sutures for Limbal Conjunctival Autografting in primary pterygium surgery. JCDR 2015;9:NC06-NC09.

Mansour HO. Comparison between sutured and sutureless gluefree conjunctival autograftin primary pterygium. EJPMR 2017;4:01-04.

Goswami S, Chatterjee SS, Goswami S, Bhaduri G. A comparative study of use of fibrin glue and vicryl suture in conjunctival autograft transplantation following pterygium excision. Indian Journal of Basic and Applied Medical Research 2014;4:169-75.

Cha DM, Kim KH, Choi HJ, Kim MK, Wee WR. A comparative study of the effect of fibrin glue versus sutures on clinical outcome in patients undergoing pterygium excision and conjunctival autografts. Korean J Ophthalmol 2012;26:407-13.

Nishant K, Prasad V, Shahnawaz A, Akbar MA. Comparison of ‘cut and paste (using fibrin glue)’ Vs ‘cut and suture (using 8-0 vicryl sutures)’ techniques of pterygium surgery. Int J Cur Res Rev 2014;6:64-76.

Foroutan A, Beigzadeh F, Ghaempanah MJ, Eshghi P, Amirizadeh N, Sianati H, Efficacy of autologous fibrin glue for primary pterygium surgery with conjunctival autograft Iranian Journal of Ophthalmology 2011 23:39-47.

Hall RC, Logan AJ, Wells AP. Comparison of fibrin glue with sutures for pterygium excision surgery with conjunctival autografts. Clin Experiment Ophthalmol 2009;37:584-89.


  • There are currently no refbacks.