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Abstract

Purpose: To find out the success rate at three year post surgery of limbalConjunctival auto-grafting after pterygium excision in patients with recurrentpterygium.Study Design: A prospective case study.Place and Duration of Study: Dow University of health sciences from June2008 to May 2014.Material and Methods: We conducted this study at the Department ofOphthalmology, Dow University of Health Sciences Karachi from June 2008 toMay 2014. The patients were selected from the outpatient department of CivilHospital Karachi and Sindh Govt. Lyari General Hospital Karachi. Thirty sixpatients were treated with pterygium excision and limbal conjunctival autograftwith a history of previously failed pterygium surgery due to recurrence. Patientswere followed postoperatively at regular intervals for a period of at least threeyears to find recurrence of pterygium and complications.Results: Out of thirty six eyes, recurrence was observed in 05 (13.8%) patientsover a period of three years of follow-up. Intra-operative complications includedbutton holing in 02 (5.5%) case that was sutured in the same setting.Postoperative complications included. Persistent graft edema over two weeks in06 (16.5%) case, partial graft retraction in 04 (11.1%) cases, graft retraction in 2(5.5%) cases, dellens in 5 (138%) and giant papillary conjunctivitis due tosutures 3 (8.3%) cases.Conclusion: Pterygium excision with limbal conjunctival auto grafting is asuperior technique and results in lower recurrence rates.Key words: Pterygium, Recurrence, Limbal Conjunctival Grafting, autograft.