Inferior conjunctival autograft for primary pterygia☆
Section snippets
Patients and methods
Excision of pterygia, extending at least 2 mm beyond the limbus, followed by inferior conjunctival autograft was performed in 36 eyes of 32 patients between August 1996 and February 2001 at our institution. All patients who needed pterygium removal were treated with inferior conjunctival autograft. The cases were accrued consecutively over the period. Patients with recurrent pterygia and other ocular surface pathologic features were excluded from the study. No patient had undergone any other
Results
Of the 32 operated patients, 27 patients (30 eyes) were reviewed after a mean follow-up period of 27.3 months (range, 8–53 months), and data collected from these patients were analyzed (Table 1). These patients were seen on the first postoperative day, 1 month after the operation, and at the time of final follow-up. Three patients were lost to the final follow-up despite our best efforts to contact them through telephone and mail, and they were excluded from the study. Thirteen patients were
Discussion
Simple excision of pterygium is associated with high recurrence rates of approximately 30% to 70%.2, 3 To reduce recurrence rate, β irradiation or mitomycin C has been used.3, 4 However, serious complications such as severe secondary glaucoma, cataract formation, uveitis, scleromalacia, scleral ulcer, and corneal perforation are associated with these methods of treatment.4, 5 Although a single application of intraoperative mitomycin C is associated with a lower incidence of complication, the
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2023, Turkish Journal of OphthalmologyPterygium surgery using inferior rotational conjunctival autograft versus conventional conjunctival autograft with sutures - A comparative study
2023, Indian Journal of OphthalmologyA New Approach: Determination of the Safe Surgical Margin in Pterygium Surgery
2022, Klinische Monatsblatter fur Augenheilkunde
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Manuscript no. 220296
None of the authors have any financial interest related to this manuscript.