Journal of the Korean Ophthalmological Society 2005;46(9):1471-1477.
Published online September 30, 2005.
Conjunctival Mini-flap Technique and Conjunctival Autotransplantation in Pterygium Surgery.
Jung Woo Cho, Soh Hyang Chung, Kyoung Yul Seo, Eung Kweon Kim
The Institute of Vision Research, Department of Ophthalmology, College of Medicine, Yonsei University, Seoul, Korea. seoky@yumc.yonsei.ac.kr
익상편수술시 결막소판술과 자가결막이식술의 재발률 비교
조정우,정소향,서경률,김응권
The Institute of Vision Research, Department of Ophthalmology, College of Medicine, Yonsei University, Seoul, Korea
Correspondence:  Jung-Woo Cho, M.D.
Abstract
PURPOSE
To compare postoperative recurrence rates between conjunctival autotransplant ation and the conjunctival mini-flap technique in pterygium surgery and to identify factors associated with postoperative recurrence. METHODS: In a retrospective survey of patients who underwent pterygium surgery between March, 2001 and February, 2004 at Severance Hospital, 49 eyes with pterygium removed by the conjunctival mini-flap technique and 41 eyes that underwent pterygium removal surgery by the conjunctival autotransplantation technique were studied. RESULTS: During the mean follow-up period of 8.79 3.9 months, recurrence of pterygium was observed in 3 of 49 eyes (7.1%) that received the conjunctival mini-flap technique. There were 9 recurrent cases out of 41 eyes (21.9%) that were treated by the conjunctival autotransplantation technique. There was no statistical significance between recurrence rate and age, sex, or previous operation in either of the respective surgical techniques. CONCLUSIONS: This study showed that the conjunctival mini-flap technique has a lower recurrence rate than the conjunctival autotransplantation technique. We also found that the conjunctival mini-flap technique is an effective and safe technique that does not generally cause serious complications.
Key Words: Conjunctival autotransplantation;Conjunctival mini-flap technique;Pterygium


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