Randomised controlled study of conjunctival autograft versus amniotic membrane graft in pterygium excision

Luanratanakorn, Patanaree; Ratanapakorn, Tanapat; Suwan-apichon, Olan; Chuck, Roy S.

doi:10.1136/bjo.2006.095018

Cited by 133 publications

(99 citation statements)

References 60 publications

(22 reference statements)

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“…Tedavisinde, piterjium dokusunun eksizyonu ile birlikte otogreft ve amniyotik zar kullanımı etkili olabilmektedir. 3,4 Piterjium cerrahisinde kullanılan teknikler arasında otogreftli tekniklerin, çıplak sklera gibi diğer tekniklere kıyasla piterjium tekrarlama riskini azalttığı gösterilmiştir. Ghanavati ve ark.nın yapmış olduğu bir çalışmada, otogreftli piterjium eksizyonu üzerine amniyotik zar örtülerek başarı şansının daha da artırıldığı görülmektedir.…”

Section: Discussionunclassified

Correction of Astigmatism Related to Severe Symblepharon Pterygium with Using Three Graft Transplantation Techniques: Case Report

Gökmen¹,

Yeşilırmak²,

Kizildağ³

et al. 2017

Turkiye Klinikleri J Ophthalmol

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Section: Discussionunclassified

Correction of Astigmatism Related to Severe Symblepharon Pterygium with Using Three Graft Transplantation Techniques: Case Report

Gökmen¹,

Yeşilırmak²,

Kizildağ³

et al. 2017

Turkiye Klinikleri J Ophthalmol

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“…Yapılan diğer çalışmalarda da LKO tekniği ile yapılan ameliyat sonuçlarında nüks oranları diğer tekniklere göre nispeten daha düşük düzeylerde bildirmişlerdir. 7,11,12 Limbal konjonktival otogreft fibrovasküler dokunun korneaya invazyonunu engelleyen bir bariyer olarak kullanılmaktadır. Bundan dolayı nüks oranları ÇS tekniğine göre çok daha düşük düzeylerdedir.…”

Section: Discussionunclassified

Primer ve Nüks Pterjium Cerrahisinde Limbal Konjonktival Otogreft Uygulamalarımız ve Sonuçları

Kılıç¹,

Erşekerci²,

Göktolga³

et al. 2014

tjo

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Amaç: Nüks ve primer pterjium olgularında limbal konjonktival otogreft tekniği ile yapılan ameliyatların sonuçlarını değerlendirmektir. Gereç ve Yöntem: Nisan 2011 ve Temmuz 2013 tarihleri arasında kliniğimizde limbal konjonktival otogreft tekniği ile pterjium ameliyatı yapılmış ve en az 6 ay takip bulguları olan 49 hastanın 54 gözü çalışma kapsamında retrospektif olarak değerlendirilmiştir. Tüm hastalar aldıkları tedaviye ve primer/nüks olma durumuna göre; siklosporin A+hidroksipropilmetilselüloz kullanan nüks pterjiumlu olgular grup 1, siklosporin A+hidroksipropilmetilselüloz kullanan primer pterjiumlu olgular grup 2, siklosporin A+hidroksipropilmetilselüloz kullanmayan primer pterjiumlu olgular grup 3 olarak gruplandırılmıştır. Bulgular: Çalışma kapsamında değerlendirilen 9 hastanın 11 gözü grup 1, 11 hastanın 11 gözü grup 2 ve 29 hastanın 32 gözü grup 3 olarak tespit edilmiştir. Hastaların takip süreleri grup 1'de 17±9,1 ay, grup 2'de 14,4±6,1 ay ve grup 3'te 13,2±7 ay olup toplamda ise tüm hastalar 14,2±7,3 ay takip edilmişlerdir. Grup 1'de bir olguda (%9,1) ve grup 3'te bir olguda (%3,1) olmak üzere toplam 2 (%3,7) olguda nüks geliştiği izlenmiştir. Gruplar arasında nüks sıklıkları açısından istatistiksel olarak anlamlı bir farklılık tespit edilmemiştir (p=0,653). ÖzetObjectives: To evaluate the results of limbal conjunctival autograft transplantation in cases with primary and recurrent pterygium. Materials and Methods: A total of 54 eyes of 49 patients who were operated for pterygium with limbal conjunctival autograft technique between April 2011-July 2013 with at least 6 months of follow-up were retrospectively assessed. All cases were distributed into 3 groups according to the postoperative therapy and the primary/recurrent nature of pterygium: Recurrent pterygium with postoperative topical cyclosporin A+hydroxypropylmethylcellulose treatment were included in group 1, primary pterygium with postoperative topical cyclosporin A+hydroxypropylmethylcellulose were included in group 2, and primary pterygium without either topical cyclosporin A or hydroxypropylmethylcellulose were included in group 3. Results: Eleven eyes of 9 patients were detected for group 1, 11 eyes of 11 patients for group 2, and 32 eyes of 29 patients were detected for group 3. Follow-up period was 17±9.1 months for group 1, 14.4±6.1 months for group 2, 13.2±7 months for group 3, and 14.2±7.3 months for all groups. Totally, two recurrences (3.7%) were observed as one case for both group 1 (9.1%) and group 3 (3.1%) during the follow-up period. The recurrence rate between the three groups was not statistically significantly different (p=0.653). Conclusion: Limbal conjunctival autograft technique is an effective and safe technique in excision of primary and recurrent pterygium. (Turk J Ophthalmol 2014; 44: 449-53)

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“…Conjunctival autograph relapse rates vary between 0% and 33.3% in the literature (11-14, 28, 29). Relapse rates after amniotic membrane coverage are reported to be between 3.0% and 40.9% (13,27,28,30). Relapse rate in pedunculated flaps is reported to be 10.7% and 0-33.3% in sliding flaps (Table 3) (14,17,18,(20)(21)(22).…”

Section: Ayala Et Al (11) Used Bioadhesives In Conjunctival Autographsmentioning

confidence: 99%

New Limboconjunctival Flap Technique in the Surgical Treatment of Primary Pterygium: A Preliminary Report

Nuhoglu¹,

Ozdemir²,

Sarıcı³

et al. 2015

JAREM

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Objective: To present our innovative limboconjunctival flap technique in the surgical treatment of primary pterygium and evaluate its effectiveness and safety.Methods: Thirty three eyes of 32 patients diagnosed with primary pterygium were included in this study. Cases with primary pterygium extending ≥3 mm into the cornea were analyzed in this prospective study. Patients with recurrent pterygium, double-head pterygium, and suspected malignity cases were excluded. A limboconjunctival flap prepared from the upper nasal conjunctiva adjacent to the area of excision was pulled over the scleral bed and fixed with three separated 8.0 vicryl sutures.Results: Fifteen of the patients (46.87%) were male and 17 were female (53.1%). The mean age of the patients was 47.9 (42-69) years. No intraoperative complication was observed. The mean postoperative follow-up period was 5.2 months (1-6 months). In all cases, the corneal epithelial defect improved within a week. Ten (76.9%) cases were successfully repaired, while in one case, the flap was displaced 0.5 mm toward the cornea. In addition, two recurrences were observed. Conclusion:We suggest that our innovative technique can be an alternative approach in the surgical management of primary pterygium because of its easy practicability, rapid postoperative rehabilitation, and improved patient satisfaction. However, larger-scale comparative studies are required to establish the effectiveness and safety of this technique. (JAREM 2015; 5: 17-21)

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Randomised controlled study of conjunctival autograft versus amniotic membrane graft in pterygium excision

Cited by 133 publications

References 60 publications

Correction of Astigmatism Related to Severe Symblepharon Pterygium with Using Three Graft Transplantation Techniques: Case Report

Correction of Astigmatism Related to Severe Symblepharon Pterygium with Using Three Graft Transplantation Techniques: Case Report

Primer ve Nüks Pterjium Cerrahisinde Limbal Konjonktival Otogreft Uygulamalarımız ve Sonuçları

New Limboconjunctival Flap Technique in the Surgical Treatment of Primary Pterygium: A Preliminary Report

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