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WHY TO WAITING FOR PTERYGIUM SURGERY?

Year 2020, Volume: 21 Issue: 4, 301 - 305, 14.10.2020
https://doi.org/10.18229/kocatepetip.589690

Abstract

OBJECTIVE: It was aimed to find out the factors affecting the operation time in patients undergoing pterygium surgery and to determine the precautions that can be taken.
MATERIAL AND METHODS: The study included 53 patients who were operated for pterygium in our clinic between January 2014 and February 2017. The reasons for delaying the surgery were asked to the patients. Five groups were formed between 1-5 according to the answers. The groups were as follows: 1. Patients who don’t feel uncomfortable even though knowing the pterygium disease, 2. Patients who are unaware of pterygium disease, 3. Patients who want to wait for the pterygium tissue to grow a little more, 4. Patients who are concerned about recurrence because they had undergone pterygium surgery previously from the same eye, 5. Patients who are afraid of any surgery.
RESULTS: The most common reason for delaying pterygium surgery was that the patient was not feeling uncomfortable even though they knew that they had the pterygium disease. The second reason was to be afraid of any surgery. The distribution of reasons for delaying surgery was as follows: Group 1: 23 (43.4%), Group 2: 8 (15.09%), Group 3: 8 (15.09%), Group 4: 7.55% Group 5: 10 patients (18.87%).
CONCLUSIONS: Patient-related delay in pterygium surgery may affect surgical success and results. Informing patients about the operation and providing psychological-social support to alleviate patients' worries may prevent delays of surgery.

References

  • Jaros PA, De Louis VP.Pingecula and pterygia. Surv Ophthalmol 1998: 33;41-49
  • Akova Y. Pterjiyum. 27. Ulusal Oftalmoloji Kursu Kitabı, Ankara, 2007; 333-341
  • Moran DJ, Hollows FC. Pterygium and ultraviolet radiation: a positive correlation. Br J Ophthalmol 1984;68:343-6
  • Taylor HR, West SK, Rosenthal FS, Munoz B, Newland HS, Emmett EA. Corneal changes associated with chronic UV irradiation. Arch Ophthalmol. 1989;107(10):1481–1484.
  • Tarkowski W, Moneta-Wielgoś J, Młocicki D. Do Demodex mites play a role in pterygium development? Med Hypotheses. 2017 Jan;98:6-10.
  • J. Kanski and B. Bowling, Clinical Ophthalmology: A Systematic Approach, 7th Edition. Elsevier Health Sciences, 2011.
  • Nieuwendaal CP, van der Meulen IJ, Mourits M, Lapid-Gortzak R. Long-term follow-up of pterygium surgery using a conjunctival autograft and Tissucol. Cornea 2011;30:34-36.
  • Mejía LF, Santamaría JP, Cuevas M, Córdoba A, Carvajal SA. Comparison of 4 techniques for limbal-conjunctival autograft fixation in primary pterygium surgery.Eur J Ophthalmol. 2017 Jan 18:0.
  • Crioiu S, Ciprian L, Rodica M, Mihai A, Anca EL. Etiopathogenic aspects in development and evolution of pterigyum. Oftalmologia. 2008;52:29-34.
  • Zhivov A, Beck R, Guthoff RF. Corneal and conjunctival findings after mitomycin C application in pterygium surgery: an in-vivo confocal microscopy study. Acta Ophthalmol. 2009;87:166-72.
  • Cionni RJ, Watanabe TM. Historical background. In: Buratto L, Phillips RL, Carito G, editors. Pterygium Surgery. Thorofare: Slack Incorporated, 2000:5–6.
  • Kenyon KR, Wagoner MD, Hettinger ME. Conjunctival autograft transplantation for advanced and recurrent pterygium. Ophthalmology 1985; 92: 1461-1470.
  • Ma DH, See LC, Liau SB, Tsai RJ. Amniotic membrane graft for primary pterygium: comparison with conjunctival autograft and topical mitomycin C treatment. Br J Ophthalmol 2000;84:973-978.
  • Yaşar T, Özdemir M, İlhan B, Demirok A. Pterjiyum cerrahisinde çıplak sklera ve mitomisin-C uygulaması ile konjonktival otogreftleme yönteminin karşılaştırılması. MN Oftalmoloji 2002; 3: 298-300.
  • Sharma A, Gupta A, Ram J, Gupta A. Low-dose intraoperative mitomycin-C versus conjunctival autograft in primary pterygium surgery: long term follow-up. Ophthalmic Surg Lasers 2000; 31: 301-307.
  • Lawallen S. A randomized trial of conjunctival autografting for pterygium in the tropics. Ophthalmology 1989; 96: 1612- 1614.
  • Lokman A., Ali Asgar Y, Murat A., Adnan A., Murat Ö. Olgun Kataraktlarda Ameliyatı Geciktirme Nedenleri. Glo-Kat 2012;7:105-108.

PTERJİUM CERRAHİSİ İÇİN NEDEN BEKLENİR?

Year 2020, Volume: 21 Issue: 4, 301 - 305, 14.10.2020
https://doi.org/10.18229/kocatepetip.589690

Abstract

AMAÇ: Pterjium cerrahisi yapılan hastalarda ameliyat zamanını etkileyen faktörleri bulmak ve alınabilecek önlemleri tespit etmek amaçlanmıştır.
GEREÇ VE YÖNTEM: Ocak 2014-Şubat 2017 arası kliniğimizde pterjium nedeniyle cerrahi yapılan 53 hastanın 53 gözü çalışmaya alındı. Hastaların bilgileri, ameliyatı bekleme sebepleri ve cerrahi öyküsü sorgulandı. Hastaların cevaplarına göre gruplandırma yapıldı: Hastalığını bildiği halde çok fazla rahatsızlık duymamak (grup 1), hastalığının farkında olmamak (grup 2), ameliyat olmak için pterjiumun biraz daha ilerlemesini beklemek (grup 3), pterjium cerrahisi daha önce geçirip yine tekrarlamasından endişe etmek (grup 4) ve ameliyattan korkmak (grup 5).
BULGULAR: En çok karşılaşılan pterjium ameliyatı geciktirme nedeni; hastalığını bildiği halde çok fazla rahatsızlık duymamak idi. İkinci sırada ise, ameliyat olmaktan korkmak olduğu tespit edildi. Cerrahiyi geciktirme nedenleri dağılımı şu şekilde idi: 1.Grup 23 (%43.4), 2.grup 8 (%15.09), 3.grup 8 (%15.09), 4.grup 4 (%7.55), 5.grup 10 (%18.87) hasta.
SONUÇ: Pterjiumda hasta kaynaklı ameliyat zamanı gecikmesinin ameliyat başarısını ve sonuçlarını etkileyebileceği, yapılacak ameliyatla ilgili hastaların bilgilendirilmesi, hastaların endişelerinin giderilmesinde psikolojik-sosyal destek verilmesi ameliyat olma zamanında gecikmeleri önleyebilir.

References

  • Jaros PA, De Louis VP.Pingecula and pterygia. Surv Ophthalmol 1998: 33;41-49
  • Akova Y. Pterjiyum. 27. Ulusal Oftalmoloji Kursu Kitabı, Ankara, 2007; 333-341
  • Moran DJ, Hollows FC. Pterygium and ultraviolet radiation: a positive correlation. Br J Ophthalmol 1984;68:343-6
  • Taylor HR, West SK, Rosenthal FS, Munoz B, Newland HS, Emmett EA. Corneal changes associated with chronic UV irradiation. Arch Ophthalmol. 1989;107(10):1481–1484.
  • Tarkowski W, Moneta-Wielgoś J, Młocicki D. Do Demodex mites play a role in pterygium development? Med Hypotheses. 2017 Jan;98:6-10.
  • J. Kanski and B. Bowling, Clinical Ophthalmology: A Systematic Approach, 7th Edition. Elsevier Health Sciences, 2011.
  • Nieuwendaal CP, van der Meulen IJ, Mourits M, Lapid-Gortzak R. Long-term follow-up of pterygium surgery using a conjunctival autograft and Tissucol. Cornea 2011;30:34-36.
  • Mejía LF, Santamaría JP, Cuevas M, Córdoba A, Carvajal SA. Comparison of 4 techniques for limbal-conjunctival autograft fixation in primary pterygium surgery.Eur J Ophthalmol. 2017 Jan 18:0.
  • Crioiu S, Ciprian L, Rodica M, Mihai A, Anca EL. Etiopathogenic aspects in development and evolution of pterigyum. Oftalmologia. 2008;52:29-34.
  • Zhivov A, Beck R, Guthoff RF. Corneal and conjunctival findings after mitomycin C application in pterygium surgery: an in-vivo confocal microscopy study. Acta Ophthalmol. 2009;87:166-72.
  • Cionni RJ, Watanabe TM. Historical background. In: Buratto L, Phillips RL, Carito G, editors. Pterygium Surgery. Thorofare: Slack Incorporated, 2000:5–6.
  • Kenyon KR, Wagoner MD, Hettinger ME. Conjunctival autograft transplantation for advanced and recurrent pterygium. Ophthalmology 1985; 92: 1461-1470.
  • Ma DH, See LC, Liau SB, Tsai RJ. Amniotic membrane graft for primary pterygium: comparison with conjunctival autograft and topical mitomycin C treatment. Br J Ophthalmol 2000;84:973-978.
  • Yaşar T, Özdemir M, İlhan B, Demirok A. Pterjiyum cerrahisinde çıplak sklera ve mitomisin-C uygulaması ile konjonktival otogreftleme yönteminin karşılaştırılması. MN Oftalmoloji 2002; 3: 298-300.
  • Sharma A, Gupta A, Ram J, Gupta A. Low-dose intraoperative mitomycin-C versus conjunctival autograft in primary pterygium surgery: long term follow-up. Ophthalmic Surg Lasers 2000; 31: 301-307.
  • Lawallen S. A randomized trial of conjunctival autografting for pterygium in the tropics. Ophthalmology 1989; 96: 1612- 1614.
  • Lokman A., Ali Asgar Y, Murat A., Adnan A., Murat Ö. Olgun Kataraktlarda Ameliyatı Geciktirme Nedenleri. Glo-Kat 2012;7:105-108.
There are 17 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Articles
Authors

Mustafa Doğan This is me 0000-0001-7237-9847

Mehmet Cem Sabaner 0000-0002-0958-9961

Esma Norman Özdamar This is me

Güliz Fatma Yavaş 0000-0001-5490-0176

Reşat Duman This is me 0000-0002-8079-6250

Publication Date October 14, 2020
Acceptance Date December 29, 2019
Published in Issue Year 2020 Volume: 21 Issue: 4

Cite

APA Doğan, M., Sabaner, M. C., Özdamar, E. N., Yavaş, G. F., et al. (2020). PTERJİUM CERRAHİSİ İÇİN NEDEN BEKLENİR?. Kocatepe Tıp Dergisi, 21(4), 301-305. https://doi.org/10.18229/kocatepetip.589690
AMA Doğan M, Sabaner MC, Özdamar EN, Yavaş GF, Duman R. PTERJİUM CERRAHİSİ İÇİN NEDEN BEKLENİR?. KTD. October 2020;21(4):301-305. doi:10.18229/kocatepetip.589690
Chicago Doğan, Mustafa, Mehmet Cem Sabaner, Esma Norman Özdamar, Güliz Fatma Yavaş, and Reşat Duman. “PTERJİUM CERRAHİSİ İÇİN NEDEN BEKLENİR?”. Kocatepe Tıp Dergisi 21, no. 4 (October 2020): 301-5. https://doi.org/10.18229/kocatepetip.589690.
EndNote Doğan M, Sabaner MC, Özdamar EN, Yavaş GF, Duman R (October 1, 2020) PTERJİUM CERRAHİSİ İÇİN NEDEN BEKLENİR?. Kocatepe Tıp Dergisi 21 4 301–305.
IEEE M. Doğan, M. C. Sabaner, E. N. Özdamar, G. F. Yavaş, and R. Duman, “PTERJİUM CERRAHİSİ İÇİN NEDEN BEKLENİR?”, KTD, vol. 21, no. 4, pp. 301–305, 2020, doi: 10.18229/kocatepetip.589690.
ISNAD Doğan, Mustafa et al. “PTERJİUM CERRAHİSİ İÇİN NEDEN BEKLENİR?”. Kocatepe Tıp Dergisi 21/4 (October 2020), 301-305. https://doi.org/10.18229/kocatepetip.589690.
JAMA Doğan M, Sabaner MC, Özdamar EN, Yavaş GF, Duman R. PTERJİUM CERRAHİSİ İÇİN NEDEN BEKLENİR?. KTD. 2020;21:301–305.
MLA Doğan, Mustafa et al. “PTERJİUM CERRAHİSİ İÇİN NEDEN BEKLENİR?”. Kocatepe Tıp Dergisi, vol. 21, no. 4, 2020, pp. 301-5, doi:10.18229/kocatepetip.589690.
Vancouver Doğan M, Sabaner MC, Özdamar EN, Yavaş GF, Duman R. PTERJİUM CERRAHİSİ İÇİN NEDEN BEKLENİR?. KTD. 2020;21(4):301-5.

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