The Clinical Results of Limbal Conjunctival Autograft Transplantation with Intraoperative Mitomycin C Application for Recurrent Pterygia.

Ahn, Dong Gyun; Auh, Soo Jae; Choi, Yong Suk

Original Article

Journal of the Korean Ophthalmological Society 1999;40(9):2443-2449.
Published online September 1, 1999.

The Clinical Results of Limbal Conjunctival Autograft Transplantation with Intraoperative Mitomycin C Application for Recurrent Pterygia.

Dong Gyun Ahn, Soo Jae Auh, Yong Suk Choi

Department of Ophthalmology, College of Medicine, Chungbuk National University, Korea.

재발된 군날개 환자에서 Mitomycin C 접촉요법과 Limbal Conjunctival Autograft Transplantation 병행요법의 치료효과

안동균(Dong Gyun Ahn),어수재(Soo Jae Auh),최용석(Yong Suk Choi)

Abstract

The recurrence is common problem to treat pterygium. Many surgical procedures were adopted to reduce the recurrence rate. We evaluated the surgical results of limbal conjunctival autograft transplantation (LCAT) accompanying application of 0.02% mitomycin C intraoperatively in 10 patients (10 eyes) who had a recurrent pterygium. There were 7 eyes with first recurrence and 3eyes with second recurrence. Mean age of the patients was 57.4 years, and mean follow-up period was 9.3 months. After a pterygium was excised, a sponge soaked in a solution of mitomycin C 0.02% was applied to the sclera at the site of the surgical bed for 2 minutes, then superior temporal limbal tissue was taken with conjunctival flap and transplanted to the excised area. None of all cases recurred for follow-up period and donor conjunctival site was well reepithelialized. In concluion, LCAT accompanying application of 0.02% mitomycin C intraoperatively was effective and safe method for recurrent pterygium.

Key Words: Limbal conjunctival autograft transplantation;Mitomycin C;Recurred pterygium