Treatment of primary pterygium: Role of limbal stem cells and conjunctival autograft transplantation

Purpose: The limbus and its stem cells are very important in the pathogenesis of pterygium. In this study, the efficacy of limbal stem cells and conjunctival autograft transplantation for the treatment of primary pterygium will be assessed. Design: Prospective noncomparative cohort study. Materials...

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Main Authors: Mohamed A. E. Soliman Mahdy, Jagdish Bhatia
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2009-01-01
Series:Oman Journal of Ophthalmology
Subjects:
Online Access:http://www.ojoonline.org/article.asp?issn=0974-620X;year=2009;volume=2;issue=1;spage=23;epage=26;aulast=Mahdy
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author Mohamed A. E. Soliman Mahdy
Jagdish Bhatia
author_facet Mohamed A. E. Soliman Mahdy
Jagdish Bhatia
author_sort Mohamed A. E. Soliman Mahdy
collection DOAJ
description Purpose: The limbus and its stem cells are very important in the pathogenesis of pterygium. In this study, the efficacy of limbal stem cells and conjunctival autograft transplantation for the treatment of primary pterygium will be assessed. Design: Prospective noncomparative cohort study. Materials and Methods: Forty-two eyes of 42 patients with grade I-III primary pterygium were included in the study. Pterygium excision was performed followed by superotemporal limbal stem cells and conjunctival autograft transplantation in all cases. Recurrence of pterygium and complications within a mean follow-up period of 18.26 months (10-28 months) was studied. Results: Recurrence of pterygium occurred in two eyes (2/42; 4.75%). No significant complications were noted. Apart from re-operation in the two recurrent cases, no further surgical interventions were needed in any case. Conclusions: Limbal stem cells and conjunctival autograft transplantation is a safe and effective technique for the treatment of different grades of pterygium. It is very useful in preventing pterygium recurrence, which is a major problem in pterygium surgery.
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spelling doaj.art-230099c4910f4cb7a89dc056971b04fc2022-12-21T22:47:36ZengWolters Kluwer Medknow PublicationsOman Journal of Ophthalmology0974-620X2009-01-0121232610.4103/0974-620X.48418Treatment of primary pterygium: Role of limbal stem cells and conjunctival autograft transplantationMohamed A. E. Soliman MahdyJagdish BhatiaPurpose: The limbus and its stem cells are very important in the pathogenesis of pterygium. In this study, the efficacy of limbal stem cells and conjunctival autograft transplantation for the treatment of primary pterygium will be assessed. Design: Prospective noncomparative cohort study. Materials and Methods: Forty-two eyes of 42 patients with grade I-III primary pterygium were included in the study. Pterygium excision was performed followed by superotemporal limbal stem cells and conjunctival autograft transplantation in all cases. Recurrence of pterygium and complications within a mean follow-up period of 18.26 months (10-28 months) was studied. Results: Recurrence of pterygium occurred in two eyes (2/42; 4.75%). No significant complications were noted. Apart from re-operation in the two recurrent cases, no further surgical interventions were needed in any case. Conclusions: Limbal stem cells and conjunctival autograft transplantation is a safe and effective technique for the treatment of different grades of pterygium. It is very useful in preventing pterygium recurrence, which is a major problem in pterygium surgery.http://www.ojoonline.org/article.asp?issn=0974-620X;year=2009;volume=2;issue=1;spage=23;epage=26;aulast=MahdyPterygiumautograftexcisionstem cells
spellingShingle Mohamed A. E. Soliman Mahdy
Jagdish Bhatia
Treatment of primary pterygium: Role of limbal stem cells and conjunctival autograft transplantation
Oman Journal of Ophthalmology
Pterygium
autograft
excision
stem cells
title Treatment of primary pterygium: Role of limbal stem cells and conjunctival autograft transplantation
title_full Treatment of primary pterygium: Role of limbal stem cells and conjunctival autograft transplantation
title_fullStr Treatment of primary pterygium: Role of limbal stem cells and conjunctival autograft transplantation
title_full_unstemmed Treatment of primary pterygium: Role of limbal stem cells and conjunctival autograft transplantation
title_short Treatment of primary pterygium: Role of limbal stem cells and conjunctival autograft transplantation
title_sort treatment of primary pterygium role of limbal stem cells and conjunctival autograft transplantation
topic Pterygium
autograft
excision
stem cells
url http://www.ojoonline.org/article.asp?issn=0974-620X;year=2009;volume=2;issue=1;spage=23;epage=26;aulast=Mahdy
work_keys_str_mv AT mohamedaesolimanmahdy treatmentofprimarypterygiumroleoflimbalstemcellsandconjunctivalautografttransplantation
AT jagdishbhatia treatmentofprimarypterygiumroleoflimbalstemcellsandconjunctivalautografttransplantation