Tailored Corneo-Conjunctival Autografting in Primary and Secondary Pterygium Surgery

2017 ◽  
Vol 27 (4) ◽  
pp. 407-410 ◽  
Author(s):  
Mahmoud M. Genidy ◽  
Ahmed A. Abdelghany ◽  
Jorge L. Alio
Keyword(s):  
Donor Site ◽  
Patients Âgés ◽  
Conjunctival Autograft ◽  
Nasal Side ◽  
Graft Donor ◽  
Cosmetic Outcomes ◽  
Recurrent Pterygium ◽  
Pterygium Surgery ◽  
Group 2

Purpose To describe the outcomes of a novel technique for pterygium removal: tailored corneo-conjunctival autograft, which offers the advantages of better postoperative cosmetic outcomes and recurrence prevention. Methods This retrospective interventional noncomparative study included 420 eyes in 370 patients (ages 25-60 years) (127 women, 243 men). We divided the patients into 2 groups. The first group included 348 primary pterygium; the second group included 72 recurrent pterygium. All underwent the same type of corneo-conjunctival autograft surgery from April 2009 to March 2014. The average follow-up period was 12 months. The main outcome measures were to assess pain after surgery, conjunctival healing, cosmetic appearance, and pterygium recurrence at the end of follow-up. Results In both groups, the graft donor site healed promptly without excessive scarring. No patient complained of pain during first week after surgery, except for mild discomfort. No major complications were observed such as infection or graft necrosis. In the first group, 2 patients had graft retraction towards the nasal side and were successfully managed conservatively. One patient had Tenon granuloma, which was removed surgically. Recurrence during the follow-up period was seen in one patient (0.2%). In the second group, no recurrent pterygium cases were observed. Conclusions The proposed type of corneo-conjunctival autograft offers the advantage of better postoperative cosmetic outcomes. This new technique is effective for surgical management of both primary and recurrent pterygium and preventing its recurrences.

scholarly journals Results of conjunctival autograft in pterygium surgery in Lumbini Eye Instititue, Nepal

2014 ◽  
Vol 2 (1) ◽  
pp. 2-6
Author(s):  
K Dhakhwa ◽  
S Patel ◽  
MK Sharma ◽  
SKC Rai ◽  
AM Bhari
Keyword(s):  
Surgical Management ◽  
Surgical Techniques ◽  
Medical Sciences ◽  
Female Ratio ◽  
Conjunctival Autograft ◽  
Recurrent Pterygium ◽  
Pterygium Surgery ◽  
Male To Female ◽  
Prevention Of Recurrence

BACKGROUND: A pterygium is a wedge shaped fibrovascular growth of conjunctiva that extends onto the cornea. Various surgical techniques are used to treat this condition. Conjunctival graft over the bare sclera is one of the techniques used. The present study was done to evaluate the efficacy of autologous conjunctival graft in surgical management of primary and recurrent pterygium. MATERIALS AND METHODS: All the patients who underwent conjunctival autograft surgery for primary and recurrentpterygium from 1st Jan. 2010 to 30th June 2010 were enrolled prospectively. Follow up was done for six months after the surgery. RESULTS: A total of240 patients operated for primary and recurrent pterygium were enrolled in this study. There were 107 (44.6%) male and 133 (55.4%) female with male to female ratio 1: 1.3. Patients' age ranged from 15 to 80 years. Recurrences occurred in 3 ( 1.25%) cases. CONCLUSIONS: Free conjunctival autograft is a safe and effective procedure for prevention of recurrence in pterygium surgery. DOI: http://dx.doi.org/10.3126/jucms.v2i1.10482   Journal of Universal College of Medical Sciences (2014) Vol.2(1): 2-6

Facilitated Tenon-Free Conjunctival Autograft Preparation and Limited Tenon Removal Technique in Pterygium Surgery

2021 ◽  
Author(s):  
Fikret Ucar ◽  
Lutfi Seyrek ◽  
Servet Cetinkaya ◽  
Huseyin Ture ◽  
Ekrem Kadioglu
Keyword(s):  
Recurrence Rate ◽  
Conjunctival Autograft ◽  
Operation Duration ◽  
Pterygium Surgery ◽  
The Mean ◽  
Pterygium Excision ◽  
Group 2 ◽  
Removal Technique ◽  
Group 1

Abstract Background The main complication of primary pterygium surgery is the recurrence of the pterygium. In the present study, we aimed to compare a classical technique and facilitated tenon-free conjunctival autograft preparation and a limited tenon removal technique in pterygium surgery in terms of recurrence rate, complications, and operation duration. Material and Methods This is a retrospective, comparative, observational study. Group 1 comprised 120 eyes of 115 patients who underwent pterygium excision with a new facilitated tenon-free conjunctival-limbal autograft preparation and limited tenon removal technique between May 2017 and October 2019. Group 2 comprised 117 eyes of 113 patients who underwent pterygium excision with a conventional conjunctival-limbal autograft technique between January 2016 and May 2017. Results The mean follow-up time after surgery was 18.2 ± 5.8 months in group 1 and 19.1 ± 6.3 months in group 2 (p = 0.25). The mean operation duration was 5.54 ± 1.22 (4 – 7) minutes in group 1 and 8.23 ± 1.26 (8 – 10) minutes in group 2 (p = 0.02). Flap edema was present in 33 eyes (28.2%) in group 2 and in 11 eyes (9.16%) in group 1. Flap edema was significantly higher in group 2 (p < 0.001). At the end of the 1-year follow-up of the patients, we observed recurrence in only one (0.83%) eye in group 1 and 14 (11.96%) eyes in group 2. The recurrence rate of group 1 was significantly less than that of group 2 (p < 0.001). Conclusions The simplified technique of tenon-free conjunctival autograft preparation and limited tenon removal yielded better clinical outcomes without serious complications. Additionally, this technique shortened the surgical time and reduced surgeon-dependent factors.

scholarly journals Outcome of Conjunctival Autograft in Pterygium Surgery

2015 ◽  
Vol 26 (2) ◽  
pp. 75-77
Author(s):  
Md Abdur Rashid ◽  
Kh Anowar Hossain ◽  
AKM Rafiqul Islam ◽  
MA Rahman ◽  
Arman Uddin Ahmed
Keyword(s):  
Surgical Technique ◽  
Conjunctival Autograft ◽  
Medical College ◽  
Peribulbar Anaesthesia ◽  
History Of ◽  
Recurrent Pterygium ◽  
Pterygium Surgery ◽  
The Mean ◽  
Primary Pterygium

This Prospective study is designed to investigate the efficacy of conjunctival autograft in surgical management of primary pterygium. The study was conducted at Tairunnessa Memrial Medical College and Hospital, Targach, Board bazar,Tongi, Gazipur and Kushtia General Hospital from July 2012 to June 2013. Fifty eyes with primary pterygia were selected for the study.Ptergium was graded depending on the extent of corneal involvement. We excluded the patients with recurrent pterygium, double headed pterygium, dry eye and history of previous intraocular surgery from our study. The mean patient age at the time of surgery was 41.9±8.1 years ranged from 30 to 60 years.The excision of pterygium with conjunctival autograf was done under peribulbar anaesthesia using 8-0 virgin silk.Then the patients were followed up for 12 months. The excision of pterygium with conjunctival auto graft was done by applying same technique. All grafts were intact during the follow up period. There is recurrence in three patients that becomes evident within first three month. Conjunctival autograft is a effective surgical technique for the treatment of pterygium.It is safe and uncomplicated procedure and prevents the recurrence of pterygium. It also reduces the risk of granuloma formation, scleral thinning and necrosis.Medicine Today 2014 Vol.26(2): 75-77

scholarly journals When an Easy Thing Goes Wrong: Foreign Body Induced Granuloma-Associated Scleritis Following Pterygium Surgery

2017 ◽  
Vol 8 (1) ◽  
pp. 195-199
Author(s):  
Pedro Coelho ◽  
Carlos Menezes ◽  
Pedro Rodrigues ◽  
Rita Gonçalves ◽  
Tiago Maio ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Tissue Response ◽  
Synthetic Fiber ◽  
Slit Lamp ◽  
Foreign Body Removal ◽  
Conjunctival Autograft ◽  
Necrotizing Scleritis ◽  
Pterygium Surgery

Purpose: To report a case of pterygium surgery with conjunctival autograft followed by focal necrotizing scleritis due to foreign body entrapment in the scleral bed. Case Report/Results: This is a case report of a 76-years-old male patient who underwent nasal pterygium surgery and developed focal necrotizing scleritis secondary to foreign body entrapment under conjunctival autograft. One month following surgery, slit-lamp examination demonstrated a progressive thinning of the surgical area with focal inflammatory signs. A small synthetic fiber was identified to be trapped under the graft. A second intervention was performed with foreign body removal and a new conjunctival graft. Despite the surgery, focal scleral melting continued to progress and the patient was placed under systemic corticotherapy and submitted to amniotic membrane graft with epithelial side up. During the follow-up period there was a good tissue response. Conclusion: Despite being a safe and quick procedure, pterygium surgery can sometimes elicit new challenges.

scholarly journals Outcome of Inferonasal Conjunctival Autograft in Pterygium Surgery

2021 ◽  
Vol 23 (4) ◽  
pp. 319-323
Author(s):  
Pragati Gautam Adhikari ◽  
Sagun Narayan Joshi
Keyword(s):  
Medical Records ◽  
Demographic Variables ◽  
Inclusion Criteria ◽  
Conjunctival Autograft ◽  
Donor Area ◽  
Mean Size ◽  
Pterygium Surgery ◽  
The Mean ◽  
Pterygium Excision

This study was done to evaluate the outcome of pterygium excision with inferonasal conjunctival autograft at a tertiary eye care centre. Retrospective analysis of medical records of primary pterygia patients operated by a single surgeon between 2017 to 2020 were analyzed. A total of 43 patients who met the inclusion criteria were included in the study. The demographic variables, along with size of pterygium and recurrence over a period of six month follow up was noted. The mean age of patients was 46.97 years (29-74 years). The mean size of pterygium was 3.17 mm. Recurrence was seen in 3 eyes over a period of 6 months. Graft edema was observed in 11 patients and graft hemorrhage along with congestion was seen in 8 cases which resolved over a 3 weeks follow up period. Mild conjunctival scarring was seen over donor area in 5 of the eyes. Pterygium excision with inferior conjunctival autograft is an effective alternative technique to superotemporal autograft technique.

scholarly journals Outcomes of Vertical Split Conjunctival Autograft Using Fibrin Glue in Treatment of Primary Double-Headed Pterygia

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Tarek Roshdy Elhamaky ◽  
Ahmed Mohammed Elbarky
Keyword(s):  
Fibrin Glue ◽  
Fibrous Tissue ◽  
Effective Technique ◽  
Normal Appearance ◽  
Conjunctival Autograft ◽  
Donor Area ◽  
Good Cosmetic ◽  
Pterygium Surgery ◽  
Pterygium Excision

Purpose. To evaluate the efficiency of pterygium excision with the vertical split conjunctival technique using fibrin glue in treatment of primary double-headed pterygia. Patients and Methods. 15 eyes of 15 patients with primary double-headed pterygia that underwent vertical split conjunctival autograft pterygium surgery were retrospectively reviewed. Recurrence was defined as fibrovascular proliferation over the limbus onto the cornea. Results. The patients’ mean age was 36.92 ± 10.8 years. At 12-month follow-up, recurrence was not seen in any cases. Regarding postoperative cosmetic grading, grade 1 (the appearance of the operated site is not different from the normal appearance) was found in 12 eyes (80%) and grade 2 (some fine episcleral vessels in the excised area extending up to but not beyond the limbus and without fibrous tissue) was found in 3 eyes (20%). None of the cases showed conjunctival scarring or fibrosis at the conjunctival donor area. Preoperative Sim K astigmatism at the central 3 mm and BCVA were 3.05 ± 1.5 diopters (D) and 0.64 ± 0.26 logMAR, which improved significantly to 1.15 ± 0.84 D and 0.26 ± 0.18 logMAR at 12-month follow-up postoperatively, respectively. Conclusion. Vertical split conjunctival autograft using fibrin glue is an effective technique with good cosmetic results and low to no recurrence for primary double-headed pterygia treatment. This trial is registered with NCT03507283.

scholarly journals Pterygium surgery by means of conjunctival autograft: long term follow-up

2012 ◽  
Vol 75 (4) ◽  
pp. 251-255 ◽  
Author(s):  
Valentín Huerva ◽  
Anna March ◽  
Montserrat Martinez-Alonso ◽  
M. Jesús Muniesa ◽  
Carmen Sanchez
Keyword(s):  
Conjunctival Autograft ◽  
Long Term Follow Up ◽  
Pterygium Surgery
Sign in / Sign up

Export Citation Format

Share Document