Clinical Research on Surgical Treatment for Double-Head Pterygium.

Lee, Byeong Hee; Lee, Gwang Ja; Park, Young Jeung; Lee, Kyoo Won

doi:2010.51.5.642

J Korean Ophthalmol Soc > Volume 51(5); 2010 > Article

Original Article

Journal of the Korean Ophthalmological Society 2010;51(5):642-650.
DOI: https://doi.org/10.3341/jkos.2010.51.5.642 Published online May 15, 2010.

Clinical Research on Surgical Treatment for Double-Head Pterygium.

Byeong Hee Lee, Gwang Ja Lee, Young Jeung Park, Kyoo Won Lee

Cheil Eye Hospital, Daegu, Korea. eyepark9@dreamwiz.com

양쪽머리 군날개의 수술적 치료에 대한 임상연구

이병희ㆍ이광자ㆍ박영정ㆍ이규원

Cheil Eye Hospital, Daegu, Korea

Abstract

PURPOSE
To evaluate two surgical methods-amniotic membrane transplantation (AMT) and split-conjunctival grafts (SCG)-for double-head pterygium, with regard to the postoperative outcome and recurrence rate. METHODS: In a total of 16 eyes (14 patients), 7 eyes (6 patients) receiving amniotic membrane transplantation and 9 eyes (8 patients) receiving split-conjunctival grafts were compared to evaluate recurrence and complications. RESULTS: Within the amniotic membrane transplantation group, two eyes (29%) had corneal recurrence, and 3 eyes (43%) had conjunctival recurrence. The mean follow-up period was 21.9+/-3.5 months, and all recurrences were on the nasal side. The average period preceding the corneal recurrences was 7.2+/-1.8 months. Within the split-conjunctival grafts group, the mean follow-up was 13.6+/-2.1 months, and neither the corneal nor conjunctival recurrences were observed. In addition, the eyes of this group were more aesthetically stable, with only one eye exhibiting pseudo-pterygium at the donor site. CONCLUSIONS: In cases of double-head pterygium without contraindication of conjunctival autograft, the split-conjunctival grafts produced fewer recurrences and showed enhanced cosmetic results, as compared to the amniotic membrane transplantation, indicating that the split-conjunctival grafts is the superior choice over amniotic membrane transplantation.

Key Words: Amniotic membrane transplantation;Double-head pterygium;Split-conjunctival grafts