Abstract :
Objectives: To evaluate the results obtained from male subjects who underwent pterygium surgery with conjunctival autograft and to calculate the induced astigmatism. Materials and methods: Pterygium surgery with conjunctival autograft was performed on 22 eyes of 20 subjects diagnosed with primary pterygium. If pterygium caused a vision problem or approached the pupil level, and if surgery was requested from the individuals for cosmetic reasons, the decision to operate was made. Patients who underwent any ocular surgery, have ocular surface disease, eyelid problems or systemic disease were not included in the study. A complete ophthalmologic examination was performed before surgery, at one month following the surgery, and during the final controls. Induced astigmatism was calculated by using refractive parameters and Vectorial Analysis Program. Results: Twenty-two eyes of 20 subjects were included in the study. Mean age was 22.50 ± 4.15 (20-39) years. All subjects included in the study were male patients. Of the 22 eyes, 14 were right and 8 were left eyes. In the evaluations of visual acuity and intraocular pressure values pre-and post- surgery, no statistical significance was detected (p=0.142, p=0.831). During the surgery, relapse was detected in 4 eyes (18%) and conjunctival granuloma (9%) was detected in 2 eyes. Following the surgery, arithmetic average of the induced astigmatisms at 1st month was 0.91±1.19 D; against-the-rule astigmatism was detected in nearly 60% of the eyes. The subjects were followed up for 93.59±36.47 days after the surgery. Conclusions: In primary pterygium subjects of young age, surgery with conjunctival autograft was considered as a preferable method due to its low number of relapse and complications, as well as absence of any adverse effect on visual acuity.
