L’autogreffe conjonctivo-limbique dans la chirurgie du ptérygion : suture versus colle biologique à propos de 30 cas

Zarrouki, M.; Elyadari, M; Jebbar, Zakariae; Azennoud, S.; Serghini, Louei; Elorch, H.; Alami, F.; Bernoussi, A.; Berraho, A.

doi:10.1016/j.jfo.2017.05.007

Cited by 2 publications

(3 citation statements)

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“…The average age was 52.04+/-11.76 years old (25 to 80). This average age like the one in the literature, with 45 years old for Kammoun in Tunisia, and 40 years old for Moukouri [3,13,14] in Cameroon. Zarrouki in a comparative study, had mean ages of 51.5 and 54 years old.…”

Section: Discussionsupporting

confidence: 83%

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Efficacy of suture less and glue-free conjunctival autograft in pterygium surgery

Fredy¹,

Chantal²,

Samuel³

et al. 2019

New Front Ophthalmol

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This study analyses the factors influencing the graft stability after a suture less and glue-free conjunctival autograft in pterygium surgery. Patients and method:A prospective study, all patients underwent pterygium surgery with suture less glue less conjunctival autografting. The parameters studied were: Intraoperative, evaluation of graft stability at the end of the procedure. Postoperative, the graft position on day 1 after surgery.Results: Sixty-four grafts remained stable at the end of the intervention, i.e. 83.12% while 16.88% were unstable. In the postoperative follow-up, 79.22% of grafts were well-positioned including 76.62% of grafts flattened in place and 2.60% of grafts retracted. Grafts displacements were observed in 20.78% of cases including 11.69% of minor displacements and 9.09% of major displacements. One patient had an excessive bleeding, which stopped on day one postoperative. Unstable grafts (84.62%) developed secondary displacements compared to stable grafts (7.81%). The difference was statistically significant, P=002. Out of the 7 cases with major displacement, 5 cases had unstable grafts (6.49%), and 2 cases had stable grafts (2.59%). Conclusion:It is an effective and safe technique with good graft position and stability despite intraoperative surgical adjustments as formerly described in the literature. The absence of postoperative irritation and suture related complications makes it a useful method for graft fixation in pterygium surgery. However, still some improvements are needed for better graft stability.This study presents some technical aspects aimed at improving the graft stability on the first postoperative day. Patients and method PatientsOur study was conducted as part of a decentralized surgical activity in a transportable hospital. The primary target was patients with cataracts, but pterygium also was operated on. Thus 77 eyes of 77 patients were operated from 09-07-2018 to 08-08-2018 Inclusion criteria

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Section: Discussionsupporting

confidence: 83%

“…Stage III pterygium was the most frequent with 60% of cases. Kammoun found almost the same distribution of pterygium per stage with 68% of stage III pterygium, whereas Zarrouki in Morocco had 50% of stage III pterygium [3,14]. We had to choose between several cases, and we selected patients with the most advanced stages of pterygium.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of suture less and glue-free conjunctival autograft in pterygium surgery

Fredy¹,

Chantal²,

Samuel³

et al. 2019

New Front Ophthalmol

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“…The recurrence of pterygium usually occurs within one year after surgery, which is a major challenge for ophthalmologists. Limbal-conjunctival autograft transplantation is currently considered one of the most effective surgical procedures for treating pterygium [18,19]. Based on the results of the present study, limbal-conjunctival autograft transplantation is superior to conjunctival autograft transplantation in terms of recurrence rate and corneal epithelial healing time.…”

Section: Discussionmentioning

confidence: 60%

Limbal-conjunctival Autograft Transplantation Versus Conjunctival Autograft Transplantation In The Treatment Of Pterygium: A Self-control Study

Wang¹,

Gu²,

Zhang³

et al. 2019

Preprint

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Background : Pterygium is a common ocular growth, which affects vision, ocular surface function, and aesthetics of the eye. Although various surgical methods are used for treating pterygium, there has been no consensus on the most suitable method. Therefore, it is important to choose the most appropriate and effective surgical method for the treatment of pterygium. The aim of this study was to compare the characteristics and efficacy of limbal-conjunctical autograft transplantation and conjunctival autograft transplantation for the treatment of pterygium. Methods : From August 2015 to December 2016, 80 patients with bilateral primary pterygium in Minhang Hospital affiliated to Fudan University were treated with limbal-conjunctival autograft transplantation in one eye (group A) and conjunctival autograft transplantation in the fellow eye (group B). The operative times of the two surgical methods were compared. The corneal epithelial healing times and recurrence rates for the two methods were observed and recorded after two years of follow-up. Results : Eight patients dropped out of the study and 72 patients participated in the final evaluation. The average operative time for group A and group B was 27.56 1.48 minutes and 26.91 1.39 minutes, respectively. There was no significant difference between the operative times for the two groups (t = 1.93, P = 0.058). The average corneal epithelial healing time for groups A and B was 2.56 0.34 days and 4.85 0.49 days, respectively (t=25.26, P < 0.001). Two years after the surgery, pterygium recurred in two eyes (2.78%) in group A and in nine eyes (14.29%) in group B. The difference between the two groups was statistically significant (2=4.82, P=0.028). Conclusion : In primary pterygium surgery, the healing time of the corneal epithelium after limbal-conjunctival autograft transplantation is shorter than that after conjunctival autograft transplantation, and the pterygium recurrence rate after limbal-conjunctival autograft transplantation is lower than that after autologous conjunctival transplantation. Although both limbal-conjunctival autograft transplantation and conjunctival autograft transplantation can achieve good clinical results, limbal-conjunctival autograft transplantation is superior to conjunctival autograft transplantation in terms of the corneal epithelial healing time and recurrence rate of pterygium after surgery.

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L’autogreffe conjonctivo-limbique dans la chirurgie du ptérygion : suture versus colle biologique à propos de 30 cas

Cited by 2 publications

References 1 publication

Efficacy of suture less and glue-free conjunctival autograft in pterygium surgery

Efficacy of suture less and glue-free conjunctival autograft in pterygium surgery

Limbal-conjunctival Autograft Transplantation Versus Conjunctival Autograft Transplantation In The Treatment Of Pterygium: A Self-control Study

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