Clinical Research on Surgical Treatment for Double-Head Pterygium.
10.3341/jkos.2010.51.5.642
- Author:
Byeong Hee LEE
1
;
Gwang Ja LEE
;
Young Jeung PARK
;
Kyoo Won LEE
Author Information
1. Cheil Eye Hospital, Daegu, Korea. eyepark9@dreamwiz.com
- Publication Type:Original Article
- Keywords:
Amniotic membrane transplantation;
Double-head pterygium;
Split-conjunctival grafts
- MeSH:
Amnion;
Cosmetics;
Eye;
Follow-Up Studies;
Humans;
Membranes;
Pterygium;
Recurrence;
Tissue Donors;
Transplants
- From:Journal of the Korean Ophthalmological Society
2010;51(5):642-650
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate two surgical methods-amniotic membrane transplantation (AMT) and split-conjunctival grafts (SCG)-for double-head pterygium, with regard to the postoperative outcome and recurrence rate. METHODS: In a total of 16 eyes (14 patients), 7 eyes (6 patients) receiving amniotic membrane transplantation and 9 eyes (8 patients) receiving split-conjunctival grafts were compared to evaluate recurrence and complications. RESULTS: Within the amniotic membrane transplantation group, two eyes (29%) had corneal recurrence, and 3 eyes (43%) had conjunctival recurrence. The mean follow-up period was 21.9+/-3.5 months, and all recurrences were on the nasal side. The average period preceding the corneal recurrences was 7.2+/-1.8 months. Within the split-conjunctival grafts group, the mean follow-up was 13.6+/-2.1 months, and neither the corneal nor conjunctival recurrences were observed. In addition, the eyes of this group were more aesthetically stable, with only one eye exhibiting pseudo-pterygium at the donor site. CONCLUSIONS: In cases of double-head pterygium without contraindication of conjunctival autograft, the split-conjunctival grafts produced fewer recurrences and showed enhanced cosmetic results, as compared to the amniotic membrane transplantation, indicating that the split-conjunctival grafts is the superior choice over amniotic membrane transplantation.
