Conjunctival rotational flap versus autograf t techniques in pterygium surgery at AL-Hussain teaching hospital from 2009-2015

  • Dr.Imad salih mehdy

Abstract

purpose :the aim is to compare the results of conjunctival flap and autograft in term of recurrence  rate  and  complications  in primary pterygium  surgery

Methods:

Atotal of 70 patients (thirty male and forty female) operated for primary pterygium  with conjunctival autografts(in 36 eyes)or conjunctival flap (in 34  eyes) technique at AL-Hussain teaching  hospital-Kerbala  ,with 18 months follow up.Patients were asked for voluntary examinations of their  respective  ocular surface status

Results:

Mean age was 43.5 years(range 21-70)42.65%  of the patients were male,70% of them worked  predominantly out doors.Mean  follow up  was 12months (3-18)

Recurrence rate recorded was 8.3% graft,8.8% flap,however oedema was more in graft,granuloma was nil in both

Conclusions:

After this long follow up period for for conjunctival flap and autograft surgeries,there was no statistically significant differences in term of the recurrence rate,as well as autograft is alonger technique with more postoperative oedema

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Author Biography

Dr.Imad salih mehdy

Ophthalmic specialist ,Department of ophthalmology
alhussain medical city,Kerbala,Iraq

References

Textbook of ophthalmolgy volume 2 sunita agarwal

yanoff m.duker j. text book of ophthalmology.2nd edition.Elsevier publication;2008.p.446-7

American academy of ophthalmology,section 8 external disease and cornea chapter 21,431.2009-2010

koranyi g.seregard s.kopp ed.cut and paste; no suture;small incision approach to pterygium.arq.bras.oftalmol.2006:69;161-4

Tan DT,Chee SP,Dear KB,Lim AS. Effect of pterygium morphology on pterygium recurrence in acontrolled trial comparing conjunctival autografting with bare sclera incision.Arch Ophthalmol. 1977

Rasool a.u.ahmed.n.khan a.a, recurrence of pterygia in patient have conjunctival autograft and bare sclera surgery,2010

Hirst LW,Recurrent pterygium surgery using pterygium extended removal followed by extended conjunctival transplant.Recurrence rate and cosmesis.2009

Nazallah,shah a,ahmedm,baser a,marwat sk ,saeedn recurrence rate of pterygium 2010

Singh G ,Wilson MR,Foster CS, long term follow-up study of mitomycin eye drops as adjunctive treatment of pterygia and its comparison with conjunctival autograft traansplantation 1990

Solomon,pires,tsengscg, amniotic membrane transplantation

schellini sa,hoyama e,oliviiera de et al matrix meta alloproooooteinase-expression in pterygium 2006

sihotar r, tendon r.parson diseases of the eye,21st edition

Detorakis et,zafiro poulous ophthalmic pterygia,eye 2005

Mackenzie fd,hirst Iw in the development of pterygia,ophthalmology 1992

yougson recurrence of pterygia after excision, journal ophthalmol 1972

Kim,S,H.,Oh,and Park,C,Y,(2013),Acomparison of anchored conjunctival rotation flap and conjunctival autograft techniques in pterygium surgery,,cornea,32(12),1578-1581.

Jeanie Chui,Minas T.Coroneo and Nick Di Girolamo,ophthalmic pterygium,Astem cell disorder with premalignant feature,American journal of pathology 2011 Feb;178(2);817-827

Published
2019-04-18
How to Cite
mehdy, D. salih. (2019). Conjunctival rotational flap versus autograf t techniques in pterygium surgery at AL-Hussain teaching hospital from 2009-2015. IJRDO -JOURNAL OF HEALTH SCIENCES AND NURSING, 4(4), 01-08. https://doi.org/10.53555/hsn.v4i4.2713