Posters

Clinical outcomes of minor ipsilateral simple limbal epithelial transplantation (Mini-SLET) technique for the treatment of pterygium

Poster Details

First Author: R.Solanki INDIA

Co Author(s):    K. Sathyamurthy   S. Maled   K. Wali              

Abstract Details

Purpose:

To assess the clinical outcomes in terms of reccurence rates , cosmetic outcome and complications of a relatively newer technique of pterygium management

Setting:

M M Joshi Eye Institute , Hubli India. Cornea Refractive Services

Methods:

34 Patients who presented to us with pterygium in september and october 2017 were evaluated in detail and pterygium was graded based on Tan et al grading system. Patient were then operated in batches of 3 or 4 for the pterygium excision with Amniotic membrane, fibrin glue Reliseal (Reliance Industries, India) and mini-SLET tissue from the same eye. Postoperative evaluation was done on 1st day, 1 week , 1 month , 3 months and 6 months post operatively and outcomes were noted in the form of recurrences , complications and cosmetic appearance

Results:

34 (16 female and 18 male) patients with mean age 47.1 were operated 15 right eye and 19 left eye. 41.17%(14/34) were grade 1, 47.05%(16/34) grade 2 and 11.76% grade 3 based on Tan et al grading. Recurrence 1(2.94%) and Graft displacement was seen in 1(2.94%) patients. Similarly 1 patient each developed glue cyst and dellen formation at donor site as part of complications. Cosmetic outcomes were good on serial photographic evaluation. 2(5.88%) patients benefited more from this approach since they were diagnosed to have glaucoma and were planned for a combined trabeculectomy and cataract surgery at a later date

Conclusions:

Based on our clinical evaluation we find that the mini-SLET procedure is reproducible and an easy to learn surgical technique requiring much less tissue than conventional conjunctival autografts. While having comparable rates of early recurrence, the mini-SLET offers the advantages of epithelial stem cells, which in the long-term may reduce the rate of recurrence significantly while having good cosmetic outcome too. It is also justifiable to use this conjunctival sparing approach in patients who may need a future glaucoma surgery or a combined procedure

Financial Disclosure:

None