Clinical Outcomes of Sutured Versus Sutureless Conjunctival Autograft in Primary Pterygium Excision

Assiut University

Status: Not yet enrolling

Conditions: Pterygium; Pterygium of Both Eyes; Pterygium of Conjunctiva and Cornea

Treatments: Procedure: pterygium excision and conjuctival graft placement by autologous blood; Procedure: pterygium excision and conjuctival graft suturing; Procedure: Clinical outcomes of sutured versus sutureless conjunctival autograft in primary pterygium excision

Study type: Interventional

Funder types: Other

Identifiers

NCT06734663

IRB (Other Identifier)

Details and patient eligibility

About

The goal of this study is to find out if a certain technique in pterygium excision surgery ,using no sutures, is better than the technique mostly used ,which uses sutures.

Investigators aim to find out whether the no sutures technique provides better efficiency and patient satisfaction than the traditional approach. They predict that if this study provides evidence of the advantages of this technique over the one used, surgeons would be encouraged to use it instead. Because not only would the patient benefit, the surgeon also may save operative time and effort used in the technique which uses sutures.

Full description

This study is a comparative interventional study, in which patients are assigned into two groups comparable in age, gender, and general condition. The first group consists of patients with primary pterygium who will undergo surgery in a traditional approach in which the pterygium is surgically removed and after which a conjuctival graft is placed on the exposed sclera and sutured to the surrounding conjuctiva; in comparison, patients of the second group undergo pterygium excision in a similar matter initially.But the conjuctival graft is placed on the exposed sclera without suturing it to the nearby conjuctiva; instead, the graft remains in place using the patient's autologous blood. Fresh blood is left under the graft, while the surgeon merely compresses the graft for a few minutes. The aim of this study is to reach a conclusion as to which technique is more beneficial, to the patient and surgeon.

Patients included in this study must have primary pterygium, no known hematological condition, and full consent to the study. Surgery time is recorded to compare the effect of avoiding sutures on the surgeon's speed. After that, Patients are followed up in documented certain intervals post-operative, to assess graft displacement, signs of inflammation, signs of bleeding under graft, and patients' overall discomfort and satisfaction.

Finally, the two groups are compared with all factors taken into consideration. The ultimate target is to document evidence of the efficiency of the sutureless technique and endorse its application by Ophthalmologists elsewhere.

Enrollment: 70 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adults aged between 18-60 years old.
• Patients diagnosed with primary Pterygium (Grades 1-4)

Exclusion criteria

• Patients unable to offer viable consent
• Patients with other significant ocular surface diseases, bleeding disorders, or systemic conditions affecting wound healing.)
• Recurrent pterygium
• Combined ocular surgery

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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70 participants in 2 patient groups, including a placebo group

pterygium excision using sutured technique

Placebo Comparator group

Description:

This represents the main used technique in pterygium surgery that we will compare the less familiar sutureless technique to. pterygium is surgically removed and conjuctival graft is placed using sutures

Treatment:

Procedure: Clinical outcomes of sutured versus sutureless conjunctival autograft in primary pterygium excision

Procedure: pterygium excision and conjuctival graft suturing

sutureless technique

Active Comparator group

Description:

this represents the experimented technique in which pterygium excision is done and the graft is placed sutureless.

Treatment:

Procedure: Clinical outcomes of sutured versus sutureless conjunctival autograft in primary pterygium excision

Procedure: pterygium excision and conjuctival graft placement by autologous blood