A comparison of conjunctival rotation flap and autoconjunctival graft techniques in pterygium surgery at aldiwaniah teaching hospital from 2007_2013

Abstract

purpose: to compare the result of conjunictival flap and autograft in term of recurrence rate and complication in Pterygium surgery.
Methods: A total of sixty patients(twenty five male and thirty five female) operated for pterygium with conjunctival autografts(in 25 eyes) or conjuctival flap(in 35 eyes) technique at diwanyia teaching hospital and with 18 months follow-up were registered. Patients were called for voluntary examinations of their respective ocular surface status .
Result: Mean age was 42.5 years (range, 23–75), 58.33% of the patients were male, and 75% worked predominantly outdoors. Mean follow-up was 12 months (range, 3–18)
Recurrence rate was 8%in graft,8.6%in flap, however edema was less in flap and granuloma was nil in both.
Conclusions: After a long follow-up period for autograft and conjunctival flap pterygium surgery, there were no statistically significant differences in recurrence rates ,as well as flap is faster and easier technique with less postoperative edema.