Conjunctival-Limbal Autograft for Primary and Recurrent Pterygium

Jha, KN

doi:10.1016/s0377-1237(08)80015-9

Cited by 7 publications

(6 citation statements)

References 6 publications

(6 reference statements)

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“…In fact Katircioðlu et al [12], found the graft techniques alone to be as effective as conjunctival autograft with mitomycin C. However, others [13,14], found the recurrence rates of amniotic membrane grafting unacceptably high. The conjunctival limbal auto-grafts have the least recurrence rates as highlighted by Jha et al [15] in this issue.…”

Section: Right To Sightmentioning

confidence: 80%

Vision 2020: Right to Sight – India

Deshpande

2008

Medical Journal Armed Forces India

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Section: Right To Sightmentioning

confidence: 80%

Vision 2020: Right to Sight – India

Deshpande

2008

Medical Journal Armed Forces India

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“…The most common complications of LCAG include pannus at the donor site, conjunctival hyperemia, subconjunctival hemorrhage, conjunctival epithelial defects, and graft retraction [ 38 ]. Conjunctival cysts, symblepharon, and postoperative wound dehiscence are less frequently observed [ 23 , 72 ].…”

Section: Resultsmentioning

confidence: 99%

“…Although it has been suggested that 30–50 Gy is the required dose range from a radiation oncology perspective [ 78 ], a high incidence of scleromalacia has been reported after RT. RT alone produces a significant reduction in the size of the pterygium [ 20 , 23 , 57 ]. However, this is usually insufficient for achieving a complete cure, perhaps because it acts on relatively mature tissues, which are less affected by irradiation.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the Efficacy and Safety of Different Pterygium Surgeries: A Review of the Literature

Palewski

Budnik

Konopińska

2022

IJERPH

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The search for the “gold standard” in the surgical treatment of pterygium has been ongoing for over two decades. Despite the development of various surgical techniques, recurrence rates range from 6.7% to 88% depending on the method used. This review discusses the latest and most commonly used methods for the surgical removal of pterygium, primarily focusing on efficacy and safety. Moreover, this review includes articles that either evaluated or compared surgical methods and clinical trials for primary and recurrent pterygium. Limited data are available on combined methods as well as on the efficacy of adjuvant treatment. The use of adjuvant intraoperative mitomycin C (MMC) and conjunctival autografting (CAU) are the two most highly recommended options, as they have the lowest rates of postoperative recurrence.

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“…Second, Hirst described leaving an intact 1.5 to 2 mm rim of the limbal conjunctiva during dissection of the conjunctival graft and leaving a similar region of bare sclera at the limbus during xation of the graft which will be re-epithelialized by the corneal epithelium. Given the bene ts of limbal stem cell transplantation to the recipient bed especially in the treatment of recurrent pterygia 24,25 , we dissected the graft all the way down to the upper limbus in order to include limbal stem cells.…”

Section: Discussionmentioning

confidence: 99%

Safety and efficacy of pterygium extended removal followed by extended conjunctival transplant for recurrent pterygia

et al. 2022

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To study the safety and e cacy of pterygium extended removal followed by extended conjunctival transplant for recurrent pterygia. MethodsThirty-three eyes of 33 subjects with recurrent pterygia were enrolled in this prospective case series study. Pterygium extended removal followed by extended conjunctival transplantation was done for all subjects.One surgeon (WA) performed all surgeries. All subjects completed follow-up for at least 12 months and were evaluated for recurrence and complications. ResultsThe mean age of the participants was 41.2 ± 10.3 years (range 22-60), 7 females (21.2%). The mean duration of follow-up was 25.64 ± 9.24 months (range 12-43). Corrected distance visual acuity (decimal notation) improved from 0.69 ± 0.22 (range 0.2-1.0) at presentation to a 1-year postoperative value of 0.83 ± 0.2 (range 0.3-1.0). No recurrence was reported in all subjects throughout the follow-up period.Transient graft swelling was recorded in 14 cases (42.4%) and resolved in all cases by the rst week. All patients developed variable degrees of transient postoperative diplopia that resolved completely by the rst 6 weeks. Donor site granuloma developed in 4 cases (12.1%). Spontaneous resolution was observed in 3 cases, while in one case, surgical excision was performed 2 months after the procedure. ConclusionsIn this study of eyes with recurrent pterygia, pterygium extended removal followed by extended conjunctival transplant was found safe and effective with no recurrence and minimal postoperative complications.

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Conjunctival-Limbal Autograft for Primary and Recurrent Pterygium

Abstract: Conjunctival-limbal autograft is the procedure of choice for primary and recurrent pterygia.

Cited by 7 publications

References 6 publications

Vision 2020: Right to Sight – India

Vision 2020: Right to Sight – India

Evaluating the Efficacy and Safety of Different Pterygium Surgeries: A Review of the Literature

Safety and efficacy of pterygium extended removal followed by extended conjunctival transplant for recurrent pterygia

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