Study to access the surgical outcome among patients attending ophthalmology unit with pterygium using various autografts at RVM Hospital, Siddipet, Telangana state

Abstract

Introduction: Pterygium is more common in tropical areas, with prevalence ranging from 0.3 to 29%. Pterygium is more frequent in areas with more ultraviolet radiation, in hot, dry, windy, dusty, and smoky environments. Aim of the study is to assess the pterygium outcome with primary pterygium surgery. Methodology: Hospital based Prospective interventional study with purposive sampling method. Study sample is 60 cases. The present study was conducted in Department of ophthalmology, RVM institute of Medical sciences and hospital, Telangana state. Study period was January 2019 to January 2020. Statistical analysis was done by entering data in excel sheet and expressing the data by frequency distribution, analysis is done by SPSS version: 21. Results: Majority of the patients were between the ages of 30 to 50 years. The average age of the study group was 47.6 years. Female preponderance is observed than the male in this study. Males 21 and females 39. The location of pterygium was nasal in 60 eyes (100%). Majority of the patients presented with type III(50%) and grade III (64%). 12% of the patients presented with type I and 38% of the patients presented with type II pterygium. 36% of the patients presented with grade II pterygium16 patients out of 50 patients (32%) included in the study showed an improvement in visual acuity post-operatively. In 34 patients (68%) visual acuity remained the same. The mean visual acuity preoperatively was 0.52 +/- 0.46.D which improved to 0.68 +0.32 (P = 0.002) post-operatively. Conclusion: Pterygium excision is a safe, effective and economical option for the management of primary pterygium requiring surgical intervention.