Our Conjunctivolimbal Autograft Technique Results in Patients with Primary and Recurrent Pterygium

Year 2018, Volume: 23 Issue: 3, 147 - 150, 26.09.2018

Elif Ertan Mustafa Doğan Anar Alızada

https://doi.org/10.21673/anadoluklin.359922

Abstract

Aim: In this study, we aimed to evaluate the results of conjunctivolimbal autograft surgery in
patients with primary and recurrent pterygium. 

Materials and Methods: Patients who underwent conjunctivolimbal autograft surgery for primary
and recurrent pterygium at Ophthalmology Department of Afyon Kocatepe University
Hospital between January 2012 and December 2016 were evaluated retrospectively.

Results: A total of 130 patients were included. The pterygium was recurrent in 19 eyes of 18
patients while primary in 131 eyes of 112 patients. Of the patients operated, 64 were male and
66 female. The mean patient age was 62.60±1.16 (25–89) years. During the postoperative follow-up,
suture-related inflammation was observed in 5 eyes (3.3%), dellen in 1 eye (0.66%) and
pterygium recurrence in 6 eyes (3.9%). No other complication was observed.

Discussion and Conclusion: Conjunctivolimbal autograft transplantation is an effective and
safe method with low recurrence rates in treatment of primary and recurrent pterygium

Keywords

pterjiyum, konjoktivalimbal, otogreft, nüks

Primer ve Reküren Pterijiumlu Hastalarda Konjonktivolimbal Otogreft Tekniği Sonuçlarımız

Abstract

Amaç: Bu çalışmada primer ve reküren pterijiumda konjonktivolimbal otogreft cerrahisinin sonuçlarını
değerlendirmeyi amaçladık.

Gereç ve Yöntemler: Ocak 2012—Aralık 2016 döneminde Afyon Kocatepe Üniversitesi Hastanesi
Göz Kliniği’nde primer ve reküren pterijium nedeniyle konjonktivolimbal otogreft cerrahisi
yapılan hastalar retrospektif olarak değerlendirildi.

Bulgular: Çalışmaya toplam 130 hasta dahil edildi; 18 hastanın 19 gözünde reküren pterijium,
112 hastanın 131 gözünde primer pterijium vardı. Ameliyat edilen hastaların 66’sı kadın, 64’ü
erkekti. Hastaların yaş ortalaması 62,60±1,16 (25–89) yıl idi. Ameliyat sonrası takiplerde 5 (%3,3)
gözde sütüre bağlı enflamasyon, 1 (%0,66) gözde dellen, 6 (%3,9) gözde nüks saptandı. Bunlar
dışında hiçbir komplikasyona rastlanmadı.

Tartışma ve Sonuç: Primer ve reküren pterijium tedavisinde, konjonktivolimbal otogreft transplantasyonu
düşük nüks oranlarına sahip, etkili ve güvenilir bir yöntemdir

Keywords

pterijium, konjonktivolimbal otogreft, reküren pterijium

References

• Kaynaklar 1. Duane TD, Jaeger EA, Tasman W.Ophthalmology. Philadelphia, PA: Lippincott Williams & Wilkins; 2009. Duane’s Ophthalmology.
• 2. Buratto L, Phillips RL, Carito G. Ptergium Surgery. Buratto L, Phillips RL, Carito G, eds.Thorofare, SLACK Inc.2000.
• 3. Hilgers JHC. Pterygium: its insidence, heredity and etiology. Am J Ophtalmol 1960;50: 635-644.
• 4. Jab A, Chan C, Lim L, Tan DT: Conjunctival rotation autograft for pterygium: An alternative to conjunctival autografting. Ophthalmology 1999;106:67-71.
• 5. Lawrence W, Hirst, Mbbs, Md, Mph, Do, Fraco, Fracs, The Treatment Of Pterjium. Surv Ophthalmol. 2003; 48 : 145-180.
• 6. Sekeroglu H.T, Erdem E, Dogan NC, et al. “Sutureless amniotic membrane transplantation combined with narrow-strip conjunctival autograft for pterygium,” International Ophthalmology 2011;31:433-438.
• 7. Aslan L, Aslankurt M, Aksoy A, et al. Comparison of wide conjunctival flap and conjunctival autografting techniques in pterygium surgery. J Ophthalmol 2013;2013:209401.
• 8. Frau E, Labetoulle M, Lautier-Frau M, Hutchinson S, Offret H. Corneo-conjunctival autograft transplantation for pterygium surgery. Acta Ophthalmol Scand, 2004; 82(1):59-63.
• 9. Al Fayez MF. Limbal versus conjunctival autograft transplantation for advanced and recurrent pterygium. Ophthalmology, 2002; 109(9):1752-5.
• 10. Gris O, Guell JL, del Campo Z. Limbal-conjunctival autograft transplantation for the treatment of recurrent pterygium. Ophthalmology, 2000; 107(2):270-3.
• 11. Ma DHK, See LC, Liau SB, Tsai RJF: Amniotic membrane graft for primary pterygium:comparison with conjunctival autograft and topical mitomycin C treatment.Br J Ophthalmol 2000; 84: 973-978.
• 12. Koç F, Demirbay P, Teke MY, Fırat E: Primer ve rekürren pterjiyumda konjonktival otogreftleme.T. Oft. Gaz.2002; 32: 583-588.
• 13. Ti SE, Chee SP, Dear KB, Tan DT. Analysis of variation in success rates in conjunctival autografting for primary and recurrent pterygium. British Journal of Ophthalmology 2000; 84(4):385-9.
• 14. Karalezli A, Kucukerdonmez C, Akova YA, et al. Fibrin glue versus sutures for conjunctival autografting in pterygium surgery: a prospective comparative study. Br J Ophthalmol 2008;92:1206-1210.
• 15. Coral-Ghanem R,Oliveira RF, Furlanetto E, et al. Conjunc- tival autologous transplantation using fibrin glue in primary pterygium. Arq Bras Oftalmol 2010;73:350-353.