{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T07:27:22Z","timestamp":1793604442268,"version":"4.5.0"},"reference-count":0,"publisher":"Nepal Journals Online (JOL)","issue":"2","license":[{"start":{"date-parts":[[2020,10,5]],"date-time":"2020-10-05T00:00:00Z","timestamp":1601856000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nep J Oph"],"abstract":"<jats:p>Introduction: Pterygium is a common surface disorder of the eye that may cause\u00a0change in visual acuity of patients by inducing astigmatic refractive error. Surgical\u00a0excision with grafting is considered the most effective recommended treatment for\u00a0pterygium. The objective of this study was to evaluate the outcomes of pterygium excision with autologous graft surgery on keratometric astigmatism and visual acuity.\r\nMaterials and methods: In this study total 64 eyes of 64 patients were enrolled having\u00a0the diagnosis of pterygium. Prior to the pterygium excision surgery all the enrolled\u00a0patients were studied for grading of pterygium, clinical symptoms, keratometric values\u00a0and best corrected visual acuity (BCVA). Postoperatively, BCVA and keratometric\u00a0readings were recorded at one week, one month, two months and four months intervals.\r\nResults: Mean age of study participants was 34.16 \u00b1 8.24 years in the age group\u00a0of 18-60 years. 42 (65.62%) eyes had grade II pterygium, while 16 (25.0 %) and 6\u00a0(9.38%) eyes were having grade III and grade IV pterygium, respectively. Preoperative\u00a0median and quartiles (25% -75%) horizontal and vertical keratometric values were 43.00 (42.50-44.00) D and 44.25 (43.75-44.50) D, respectively and both reduced\u00a0significantly to 42.50 (42.50-42.94) D and 42.50 (42.50- 43.00) D, respectively after\u00a0four months postoperatively. Median keratometric astigmatism before surgery was\u00a01.37 (1.25-1.93) D which reduced significantly to 0.50 (0.32-0.75) D after four months\u00a0of pterygium excision. Similarly, BCVA improved significantly [0.20(0.16-0.25) vs\u00a00.53 (0.50-0.80)] when assessed postoperatively after four months.\r\nConclusion: Excision of pterygium with autologous graft reduced pterygium-induced\u00a0keratometric astigmatism and improved BCVA significantly.<\/jats:p>","DOI":"10.3126\/nepjoph.v12i2.28287","type":"journal-article","created":{"date-parts":[[2020,10,6]],"date-time":"2020-10-06T13:59:10Z","timestamp":1601992750000},"page":"191-200","source":"Crossref","is-referenced-by-count":7,"title":["Evaluation of change in pterygium induced keratometric astigmatism in patients following pterygium excision with autologous graft surgery"],"prefix":"10.3126","volume":"12","author":[{"given":"Amit Kumar","family":"Jain","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dadan Ji","family":"Pandey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1670","published-online":{"date-parts":[[2020,10,5]]},"container-title":["Nepalese Journal of Ophthalmology"],"original-title":[],"link":[{"URL":"https:\/\/www.nepjol.info\/index.php\/NEPJOPH\/article\/download\/28287\/25111","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nepjol.info\/index.php\/NEPJOPH\/article\/download\/28287\/25111","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T06:53:25Z","timestamp":1793602405000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nepjol.info\/index.php\/NEPJOPH\/article\/view\/28287"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,5]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020,10,6]]}},"URL":"https:\/\/doi.org\/10.3126\/nepjoph.v12i2.28287","relation":{},"ISSN":["2091-0320","2072-6805"],"issn-type":[{"value":"2091-0320","type":"electronic"},{"value":"2072-6805","type":"print"}],"subject":[],"published":{"date-parts":[[2020,10,5]]}}}