Conjunctival-Limbal autografts for primary and recurrent Pterygia: Technique and results

Our technique of pterygium excision with conjunctival-limbal autografting is described and the safety and efficacy of the procedure in India is analysed. Case records of 51 consecutive patients (53 eyes) who underwent surgery at our institute between November 1992 and September 1994 were retrospecti...

Full description

Bibliographic Details
Main Authors: Rao Srinivas, Lekha T, Mukesh Bickol, Sitalakshmi G, Padmanabhan Prema
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 1998-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=1998;volume=46;issue=4;spage=203;epage=209;aulast=Rao
_version_ 1828423366296469504
author Rao Srinivas
Lekha T
Mukesh Bickol
Sitalakshmi G
Padmanabhan Prema
author_facet Rao Srinivas
Lekha T
Mukesh Bickol
Sitalakshmi G
Padmanabhan Prema
author_sort Rao Srinivas
collection DOAJ
description Our technique of pterygium excision with conjunctival-limbal autografting is described and the safety and efficacy of the procedure in India is analysed. Case records of 51 consecutive patients (53 eyes) who underwent surgery at our institute between November 1992 and September 1994 were retrospectively analysed. Recurrence was defined as fibrovascular tissue crossing the corneoscleral limbus onto clear cornea in the area of previous pterygium excision. 2 (3.8%) of the 53 pterygia (primary 36; recurrent 17) recurred, after a mean follow up of 18.9±12.1 months (range: 1.5-43 months). Both recurrences occurred within a year of follow up, in patients who were ≤40 years of age. No major operative or postoperative complications were encountered. The inclusion of limbal tissue in conjunctival autografts following pterygium excision appears to be essential to ensure low recurrence rates. The technique is safe, simple and inexpensive and is recommended for the management of both primary and recurrent pterygia in Indian eyes.
first_indexed 2024-12-10T16:01:41Z
format Article
id doaj.art-30b3937f691940bab2490dd41cf74428
institution Directory Open Access Journal
issn 0301-4738
language English
last_indexed 2024-12-10T16:01:41Z
publishDate 1998-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Journal of Ophthalmology
spelling doaj.art-30b3937f691940bab2490dd41cf744282022-12-22T01:42:24ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-01-01464203209Conjunctival-Limbal autografts for primary and recurrent Pterygia: Technique and resultsRao SrinivasLekha TMukesh BickolSitalakshmi GPadmanabhan PremaOur technique of pterygium excision with conjunctival-limbal autografting is described and the safety and efficacy of the procedure in India is analysed. Case records of 51 consecutive patients (53 eyes) who underwent surgery at our institute between November 1992 and September 1994 were retrospectively analysed. Recurrence was defined as fibrovascular tissue crossing the corneoscleral limbus onto clear cornea in the area of previous pterygium excision. 2 (3.8%) of the 53 pterygia (primary 36; recurrent 17) recurred, after a mean follow up of 18.9±12.1 months (range: 1.5-43 months). Both recurrences occurred within a year of follow up, in patients who were ≤40 years of age. No major operative or postoperative complications were encountered. The inclusion of limbal tissue in conjunctival autografts following pterygium excision appears to be essential to ensure low recurrence rates. The technique is safe, simple and inexpensive and is recommended for the management of both primary and recurrent pterygia in Indian eyes.http://www.ijo.in/article.asp?issn=0301-4738;year=1998;volume=46;issue=4;spage=203;epage=209;aulast=RaoConjunctival autograftlimbal transplantationpterygium recurrence
spellingShingle Rao Srinivas
Lekha T
Mukesh Bickol
Sitalakshmi G
Padmanabhan Prema
Conjunctival-Limbal autografts for primary and recurrent Pterygia: Technique and results
Indian Journal of Ophthalmology
Conjunctival autograft
limbal transplantation
pterygium recurrence
title Conjunctival-Limbal autografts for primary and recurrent Pterygia: Technique and results
title_full Conjunctival-Limbal autografts for primary and recurrent Pterygia: Technique and results
title_fullStr Conjunctival-Limbal autografts for primary and recurrent Pterygia: Technique and results
title_full_unstemmed Conjunctival-Limbal autografts for primary and recurrent Pterygia: Technique and results
title_short Conjunctival-Limbal autografts for primary and recurrent Pterygia: Technique and results
title_sort conjunctival limbal autografts for primary and recurrent pterygia technique and results
topic Conjunctival autograft
limbal transplantation
pterygium recurrence
url http://www.ijo.in/article.asp?issn=0301-4738;year=1998;volume=46;issue=4;spage=203;epage=209;aulast=Rao
work_keys_str_mv AT raosrinivas conjunctivallimbalautograftsforprimaryandrecurrentpterygiatechniqueandresults
AT lekhat conjunctivallimbalautograftsforprimaryandrecurrentpterygiatechniqueandresults
AT mukeshbickol conjunctivallimbalautograftsforprimaryandrecurrentpterygiatechniqueandresults
AT sitalakshmig conjunctivallimbalautograftsforprimaryandrecurrentpterygiatechniqueandresults
AT padmanabhanprema conjunctivallimbalautograftsforprimaryandrecurrentpterygiatechniqueandresults