Complex Cornea Problems Treatment Centre & Research Institute
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Pterygium Surgery

Pterygium Surgery with Conjunctival Autograft

In Numbers

3000+ Total Cornea surgeries performed till time at LJ Eye Institute.

Demographics

Patients from Haryana, Punjab, Himachal Pradesh, J&K, & Rajasthan, trusts LJEI.

Technology / Innovation

LJEI is equipped with all the latest and rare Machines / Technology including AI.

Research

We preserve every single case study to handle any complex situation and publish research papers time to time.

Pterygium Surgery in Ambala | LJ Eye Institute (Ambala)

Pterygium Surgery in Ambala

What is DMEK surgery and why it is needed?

What is Pterygium?

A Pterygium is a growth of the conjunctiva or mucous membrane that covers the white part of your eye over the cornea. The cornea is the clear front covering of the eye. This benign or noncancerous growth is often shaped like a wedge. A pterygium usually doesn’t cause problems or require treatment, but it can be removed if it interferes with your vision.

What are the symptoms of Pterygium?

A pterygium doesn’t always cause symptoms. When it does, the symptoms are usually mild. Common symptoms include redness, blurred vision, and eye irritation. You might also feel a burning sensation or itchiness. If a pterygium grows large enough to cover your cornea, it can interfere with your vision. Thick or larger pterygium can also cause you to feel like you have a foreign object in your eye. You might not be able to continue wearing contact lenses when you have a pterygium due to discomfort.

What is Conjunctival Autografting?

Conjunctival limbal autograft (hereafter referred to as “conjunctival autograft”) involves removing limbal tissue and adjacent conjunctiva in one piece from another part of the person’s eye and using the tissue to cover the area from which the pterygium was excised.

Conjunctival autograft transplantation is a form of ocular surface transplantation in which an autologous free conjunctival graft is obtained from the superior bulbar conjunctiva and sutured to the scleral bed. Conjunctival autografting is now extensively employed in pterygium surgery, in which the conjunctival graft is most often obtained from the same eye, but may be obtained from the opposite eye if previous surgery or scarring is present in the affected eye.

This procedure is considered by many to set the standard in the surgical treatment of pterygium today, since the procedure can provide excellent cosmesis, is safe, and has been reported to have a low rate of recurrence. However, poor surgical technique resulting from a lack of understanding of basic surgical principles may result in a poor outcome and higher rates of recurrence. This chapter outlines the history and development of conjunctival autograft transplantation and the important surgical principles that allow for consistently successful surgery.

What are the complications of conjunctival autograft?
Like with all surgery, complications can occur, such as infection (0.05%), loss of transparency of the treated area, thinning of the cornea, foreign body granuloma and hypertrophic conjunctival scars.
How long does it take for a conjunctival graft to heal?
However, most grafting procedures will cause some scarring which can reduce vision and it will depend on the extent of the original wound as to how clear the cornea is in the end. On average, it will take between 3 and 6 months after the operation until the optimal post-operative result is achieved.
How is Pterygium removed with conjunctival graft?
In each case, surgery begins with dissection of the conjunctival tissue, followed by separation of the pterygium head from the cornea and excision of the pterygium from the base. Then, the corneal surface is smoothed, the autograft is harvested and placed over the bare sclera, and the graft is secured with fibrin glue.
What are the different types of conjunctival grafts?
There are two types of tissue graft surgery: conjunctival autograft surgery (CAG) and amniotic membrane transplant (AMT). The purpose of this review was to compare recurrence of pterygium after these two types of tissue graft.
Can a Pterygium graft fail?
Graft loss occurred in 16 cases (0.76%) of primary pterygium and in 6 cases (2.39%) of recurrent pterygium, with a significant P value (P = 0.0284). Graft retraction was seen in 620 cases (29.45%) and 72 cases (28.6%) in primary and recurrent pterygium respectively, with no significant P value (P = 0.857).
What to avoid after Pterygium surgery?
No gardening or lawn work for 3 weeks after surgery. You may resume driving once advised by your eye doctor. Most exercise should be avoided for 3 weeks after surgery. Ask your doctor for advice if you have specific questions.
What glue is used in Pterygium surgery?
The use of fibrin glue in pterygium surgery significantly reduces operative time and patient symptoms, pain, and discomfort. A longer follow-up is needed to evaluate the influence of fibrin glue on rate of recurrence and long-term complications.
Can Pterygium surgery go wrong?
Some of the risks and side effects of pterygium surgery, including painful eyes for a few days to a week after surgery. Your prescription will change, so you will need new glasses. In rare cases, people develop infection or blurred vision, and the pterygium may recur five years later.
Will Pterygium come back after surgery?
Pterygium surgery is a safe procedure that can be performed in-office in about 30 minutes. If you are interested in undergoing pterygium surgery, you should know that there is a chance for recurrence (regrowth) after the procedure.
Can I watch TV after Pterygium Surgery?
for 4 weeks after surgery. You can watch TV, read as normal.
What happens if Pterygium is not removed?
The condition is not cancerous and does not invade the inside of the eye or spread to any other part of the face or body. It can look red and be mildly irritating. If untreated, a pterygium may grow across the cornea (the transparent ‘window’ that covers the pupil and iris) affecting vision and becoming more obvious.
Is Pterygium removal painful?
Is Pterygium surgery painful? You will be sedated during the procedure and the doctor can prescribe medication to help prevent pain or discomfort once you get home. Most patients will have mild discomfort for the first few days, but the discomfort subsides as the eye heals.

DMEK Surgeons at LJEI

Cornea Surgeon Dr. Vikas Mittal

Dr. Vikas Mittal

Performed 2500+ DMEK Surgeries 20+ Years Experience
Cornea Surgeon Dr. Vikas Mittal

Dr. Neha Jain

Performed 800+ DMEK Surgeries 10+ Years Experience

What causes Pterygium?

The exact cause of pterygium isn’t known. One explanation is that too much exposure to ultraviolet (UV) light can lead to these growths. It occurs more often in people who live in warm climates and spend a lot of time outdoors in sunny or windy environments. People whose eyes are exposed to certain elements on a regular basis have a higher risk of developing this condition. These elements include:

Pollen

Sand

Smoke

Wind

Pterygium Surgery in Numbers

DMEK Surgeries

DSEK Surgeries

We feel proud to say that our doctors train various Cornea techniques to National and International doctors.

Most Advanced Eye Transplant Techniques Available

At LJ Eye Institute we use most advanced Eye Transplant techniques whichever is available in the world, which further help to increase the success rate. Where using traditional techniques the success rate is 70% to 75%, the new techniques increase the success rate to 90% to 95%.These advanced techniques includes DMEK, DALK, DSEK, using such techniques we need not to change whole Cornea and we change only One or required number of layers of Cornea.

Technology @ LJEI

Technology Available For Cornea Treatments at LJEI

LJ Eye Institute employs ultra-advanced technologies for Cornea Transplant procedures.

  • We utilize Femtosecond LASER technology for Cornea Transplants, ensuring precision and accuracy compared to conventional blade methods.
  • Our facility is equipped with specialized equipment including Specular Microscope for assessing corneal power, Topography, Pentacam, Anterion, and OCT for comprehensive evaluation.
  • We integrate the latest available technologies from around the world to achieve the highest success rates in Cornea Transplants.
  • For pediatric cases, we have a dedicated spare system and have extensively researched Pediatric Cornea diseases, with publications in national and international medical journals.
  • LJ Eye Institute is at the forefront of Stem Cell Transplantation, particularly in the pioneering SLET technique, with numerous published papers showcasing our advancements and modifications in the field.

Still Have Questions?

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