Pterygium Surgery: Wide Excision with Conjunctivo-Limbal Autograft.
10.3341/jkos.2008.49.2.205
- Author:
Dong Yub KWAK
1
;
Min Chul BAE
;
Jin Kee LEE
;
Dae Jin PARK
Author Information
1. Department of Ophthalmology, Daegu Fatima Hospital, Daegu, Korea. djoph2540@yahoo.co.kr
- Publication Type:Original Article
- Keywords:
Conjunctivo-limbal autograft;
Pterygium;
Recurrence rates
- MeSH:
Cornea;
Cosmetics;
Eye;
Fibrosis;
Follow-Up Studies;
Granuloma;
Hemorrhage;
Humans;
Pterygium;
Recurrence;
Tenon Capsule;
Tissue Donors
- From:Journal of the Korean Ophthalmological Society
2008;49(2):205-212
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the efficacy of conjunctivo-limbal autograft after wide excision of primary and recurrent pterygia. METHODS: Twenty-one eyes of 18 patients with primary pterygium and 18 eyes of 18 patients with recurrent pteygium underwent conjunctivo-limbal autograft after wide excision of pterygium. All patients underwent follow-up for more than six months. Recurrence rates and complications were evaluated. RESULTS: With a minimum of six months of follow-up, fibrovascular tissue in the excised area, not invading the cornea, was noted in one eye (5.6%) in the recurrent pterygium group but no further surgical interventions for the cosmetic problem were needed. One eye (4.8%) showed wound dehiscence, three eyes (14.3%) showed subgraft hemorrhage, and one eye (4.8%) showed subconjunctival fibrosis at the donor site in the primary pterygium group, while two eyes (11.1%) showed subgraft hemorrhage, and one eye (5.6%) showed Tenon's Capsule granuloma at the donor site in the recurrent pterygium group. CONCLUSIONS: Conjunctivo-limbal autograft after wide excision of pterygium can be considered an effective treatment with low recurrence rates for both primary and recurrent pterygia.
