Objectives: To know the refractive changes and corneal topographic changes in cases of pterygium excision with conjunctival autograft with fibrin glue. Materials and Methods: This prospective observational study was done on Patients with pterygium meeting inclusion and exclusion criteria. Subjects underwent a comprehensive ophthalmic evaluation both pre operative as well as postoperative at 1 month duration. Ophthalmic evaluation included visual acuity, amount of astigmatism and corneal topographic findings. Data was documented and analysed with statistical formulas and software. Results : The study included 62 eyes with pterygium which underwent pterygium excision with fibrin glue. There was improvement of visual acuity i.e best corrected visual acuity and uncorrected visual acuity improved from 0.3 log MAR to 0.17 log MAR and 0.6±0.32 log MAR to 0.4±0.24 log MAR respectively after 1 month of Post operative period. The mean topographic corneal astigmatism reduced from 2.7±2.50D to 0.7 ±0.49D. Conclusion: Improved visual acuity, decreased topographic astigmatism, early recovery have been noted in our study after Pterygium excision with conjunctival graft secured with fibrin glue. Thus planning of cataract surgery should be considered only after 1month of pterygium surgery.