PTERJİYUM CERRAHİ TEDAVİSİ

Year 2019, Volume: 5 Issue: 2, 1642 - 1651, 15.08.2019

Ali Şimşek , Lokman Balyen , Müslüm Toptan , Ayhan Sağlar Ali Asgar Yetkin

https://doi.org/10.30569/adiyamansaglik.596458

Abstract

Pterjium,
konjonktivanın kornea üzerine fibrovasküler uzanım göstermesi ile karakterize,
dejeneratif ve proliferatif bir oküler
yüzey hastalığıdır. Pterjium
cerrahi olarak çıkarılmasını gerektirebilecek neoplastik olmayan konjonktiva büyümeleridir.
Pterjium eksizyondan sonra tekrarlayabilir. Pterjium tedavisinin asıl amacı tekrarlamadan kaçınmaktır, ancak komplikasyon oranları
ve kozmetik sonuçlar
da göz önünde bulundurulmalıdır.
Mevcut tekniklerin çokluğuna rağmen, en iyi prosedür konusunda fikir birliği yoktur.
En iyi teknikler bile nüks ve
komplikasyon riskini taşır. Bu çalışmamızda, güncel cerrahi kullanımda farklı
cerrahi teknikler, greft tutturma yöntemleri ve adjuvan tedaviler
tartışılmıştır. Ayrıca, önerilen bir tedavi olmadan önce daha fazla araştırma
gerektiren yeni teknikler tartışılmıştır. Bu gözden geçirme, hipotez oluşturma
konusunda araştırmacılara yardım etmek ve cerrahlara kararları hakkında bilgi
vermek için mevcut araştırmaları gözden geçirmeyi amaçlamaktadır.

Keywords

Adjuvan tedavi, Pterygium, Konjonktival otogreft, nüks

Supporting Institution

YOK

SURGICAL TREATMENT OF PTERYGIUM

Abstract

Pterygium
is a degenerative and proliferative ocular surface disease characterized by
fibrovascular extension of the conjunctiva on the cornea. Pterygium is a
non-neoplastic conjunctival enlargement that may require surgical removal. The
pterygium may recur after excision. The main goal of pterygium treatment is to
avoid recurrence, but complications and cosmetic outcomes should also be
considered. Despite the plenty of available techniques, there is no consensus on
the best procedure. Even the best techniques carry a risk of recurrence and
complications. In this study, different surgical techniques, graft fixation
methods and adjuvant therapies are discussed. Furthermore, new techniques that
require further research were discussed before becoming a proposed treatment.
The review aims to review existing research to assist researchers in creating
hypotheses and to inform surgeons about their decisions.

Keywords

Adjuvant therapy, Conjunctival autograft, Pterygium, Recurrence

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