Recurrence and Complication Rates among Current Pterygium Treatment Techniques: Pre-operative Subpterygeal Mitomycin-C Injection, Intraoperative Mitomycin C Application and Pterygium Excision with Conjunctival Autograft
- Author:
Archimedes L.D. Agahan
1
,
2
,
3
;
Theresa Gladiola B. Merca
3
,
4
,
5
;
Jose III V. Tecson
3
,
6
;
Minnette A. Panganiban
7
,
8
Author Information
- Publication Type:Journal Article
- Keywords: subpterygeal injection; conjunctival autograft; Mitomycin-C
- MeSH: Pterygium Of Conjunctiva And Cornea; Pterygium; Mitomycin; Autografts; Conjunctiva; Conjunctivitis; Transplantation, Autologous
- From: Acta Medica Philippina 2020;54(5):531-535
- CountryPhilippines
- Language:English
-
Abstract:
Objective:This study aims to determine recurrence and complication rates among patients who underwent three current pterygium treatment techniques: preoperative subpterygeal injection of mitomycin C, intraoperative application of mitomycin with pterygium excision and pterygium excision with conjunctival autograft.
Methods:This is a randomized controlled clinical trial in a tertiary hospital. We included patients with diagnosed primary pterygium and who underwent either: A = pre-operative injection of 0.02% mitomycin C one month prior to pterygium excision; B = pterygium excision with intraoperative mitomycin C application; or C = pterygium excision with conjunctival autograft.
Results:We included 111 patients: a total of 120 eyes randomized to 3 groups (A, B, C) at 40 eyes per group. After 24 months of follow-up, there was no significant difference in the recurrence rates among the groups (6/40 [15%] in groups A and B and 2/40 cases [5%] in group C; P=0.29). No complications were noted in groups B and C, while 1 case of scleral thinning was noted in group A. There was no significant difference in the complication rates among the three procedures (P=1.00).
Conclusion:There were no significant differences in the recurrence and complication rates among the three techniques. Careful patient selection and follow-up are recommended to prevent complications such as scleral thinning. - Full text:2242-Article Text-11710-1-10-20201028.pdf