Pterygium Surgery: Wide Excision with Conjunctivo-Limbal Autograft.

Kwak, Dong Yub; Bae, Min Chul; Lee, Jin Kee; Park, Dae Jin

doi:2008.49.2.205

J Korean Ophthalmol Soc > Volume 49(2); 2008 > Article

Original Article

Journal of the Korean Ophthalmological Society 2008;49(2):205-212.
DOI: https://doi.org/10.3341/jkos.2008.49.2.205 Published online February 29, 2008.

Pterygium Surgery: Wide Excision with Conjunctivo-Limbal Autograft.

Dong Yub Kwak, Min Chul Bae, Jin Kee Lee, Dae Jin Park

Department of Ophthalmology, Daegu Fatima Hospital, Daegu, Korea. djoph2540@yahoo.co.kr

군날개 제거술 : 광범위 절제술 및 자가윤부결막이식술

곽동엽ㆍ배민철ㆍ이진기ㆍ박대진

Department of Ophthalmology, Daegu Fatima Hospital, Daegu, Korea

Correspondence: Dong Yub Kwak, M.D.

Abstract

PURPOSE
To evaluate the efficacy of conjunctivo-limbal autograft after wide excision of primary and recurrent pterygia. METHODS: Twenty-one eyes of 18 patients with primary pterygium and 18 eyes of 18 patients with recurrent pteygium underwent conjunctivo-limbal autograft after wide excision of pterygium. All patients underwent follow-up for more than six months. Recurrence rates and complications were evaluated. RESULTS: With a minimum of six months of follow-up, fibrovascular tissue in the excised area, not invading the cornea, was noted in one eye (5.6%) in the recurrent pterygium group but no further surgical interventions for the cosmetic problem were needed. One eye (4.8%) showed wound dehiscence, three eyes (14.3%) showed subgraft hemorrhage, and one eye (4.8%) showed subconjunctival fibrosis at the donor site in the primary pterygium group, while two eyes (11.1%) showed subgraft hemorrhage, and one eye (5.6%) showed Tenon's Capsule granuloma at the donor site in the recurrent pterygium group. CONCLUSIONS: Conjunctivo-limbal autograft after wide excision of pterygium can be considered an effective treatment with low recurrence rates for both primary and recurrent pterygia.

Key Words: Conjunctivo-limbal autograft;Pterygium;Recurrence rates