| ORIGINAL ARTICLE |
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| Year : 2020 | Volume
: 28
| Issue : 1 | Page : 21-23 |
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21G Needle-Assisted Pterygium Excision (21-GNAP): A Novel Safe Approach
Emmanuel Olu Megbelayin
Department of Ophthalmology, University of Uyo, Nigeria
Correspondence Address:
MBBS, FMCOph, MPA, MSc (Ed.) Emmanuel Olu Megbelayin
Department of Ophthalmology, University of Uyo
Nigeria
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/njo.njo_8_20
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Aim: To determine surgical efficacy of 21G needle-assisted pterygium excision. Method: A pictorial review of pterygia excised at different levels of maturity and diverse clinical history using a 21G hypodermic needle and a colibri. Ten pterygia were excised of which grade 3 were six and grade 2 were four. Nine cases were primary pterygia and a case was recurrent. The author was the only surgeon. Result: Cases reviewed showed minimal or no residual pterygial tissues post-operatively. Pterygial beds had smooth corneal optical surfaces, there were no perforations or undue corneal “guttering” from irregular cuts, no exuberant tissue formation like pyogenic granuloma or recurrence at 6 weeks of follow-up. Overall, slit lamp images were comparable with conventional “grab and cut” with surgical blade or scissors. Conclusion: 21G Needle-Assisted Pterygium (21-GNAP) excision is cheap, safe, and easy-to-learn new modality of excising all forms of pterygial and ocular surface masses.
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