Subconjunctival bevacizumab injection versus mitomycin C application after primary pterygium surgery

Purpose The aim of this study was to compare subconjunctival bevacizumab injection and mitomycin C (MMC) application after primary pterygium surgery in terms of recurrence rates and complications. Patients and methods This prospective comparative clinical study included 90 eyes of 90 patients with p...

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Main Authors: Hani A Albialy, Haitham Y Al-Nashar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Delta Journal of Ophthalmology
Subjects:
Online Access:http://www.djo.eg.net/article.asp?issn=1110-9173;year=2019;volume=20;issue=4;spage=139;epage=143;aulast=Albialy
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author Hani A Albialy
Haitham Y Al-Nashar
author_facet Hani A Albialy
Haitham Y Al-Nashar
author_sort Hani A Albialy
collection DOAJ
description Purpose The aim of this study was to compare subconjunctival bevacizumab injection and mitomycin C (MMC) application after primary pterygium surgery in terms of recurrence rates and complications. Patients and methods This prospective comparative clinical study included 90 eyes of 90 patients with primary pterygium who underwent excision with bare sclera technique. Patients were randomized into three groups: group A (30 eyes), in which MMC 0.02% was applied to the bare scleral area for 3 min; group B (30 eyes), which received 2.5 mg/0.1 ml subconjunctival bevacizumab injection at the end of surgery; and group C (30 eyes), which was used as a control group and did not receive any adjuvant medications after pterygium excision. Patients were followed up for 6 months, and the recurrence rates of pterygium and any complications were reported. Results At 6 months after surgery, the recurrence rates in the three groups were as follows: two (6.7%) eyes in the MMC group A, two (6.7%) eyes in the bevacizumab group B, and 11 (36.7%) eyes in the control group C, with a significant difference among groups (P=0.01). No serious complications, except subconjunctival hemorrhage, were observed in all groups. Conclusion Groups receiving topical 0.02% MMC and 2.5 mg/0.1 ml subconjunctival bevacizumab injections after surgery showed lower recurrence rates than the control group. However, no difference in the recurrence rate was observed between both groups.
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spelling doaj.art-44795f7b79b74523ace4cf49c6cb14ff2022-12-21T22:36:39ZengWolters Kluwer Medknow PublicationsDelta Journal of Ophthalmology1110-91732090-48352019-01-0120413914310.4103/DJO.DJO_20_19Subconjunctival bevacizumab injection versus mitomycin C application after primary pterygium surgeryHani A AlbialyHaitham Y Al-NasharPurpose The aim of this study was to compare subconjunctival bevacizumab injection and mitomycin C (MMC) application after primary pterygium surgery in terms of recurrence rates and complications. Patients and methods This prospective comparative clinical study included 90 eyes of 90 patients with primary pterygium who underwent excision with bare sclera technique. Patients were randomized into three groups: group A (30 eyes), in which MMC 0.02% was applied to the bare scleral area for 3 min; group B (30 eyes), which received 2.5 mg/0.1 ml subconjunctival bevacizumab injection at the end of surgery; and group C (30 eyes), which was used as a control group and did not receive any adjuvant medications after pterygium excision. Patients were followed up for 6 months, and the recurrence rates of pterygium and any complications were reported. Results At 6 months after surgery, the recurrence rates in the three groups were as follows: two (6.7%) eyes in the MMC group A, two (6.7%) eyes in the bevacizumab group B, and 11 (36.7%) eyes in the control group C, with a significant difference among groups (P=0.01). No serious complications, except subconjunctival hemorrhage, were observed in all groups. Conclusion Groups receiving topical 0.02% MMC and 2.5 mg/0.1 ml subconjunctival bevacizumab injections after surgery showed lower recurrence rates than the control group. However, no difference in the recurrence rate was observed between both groups.http://www.djo.eg.net/article.asp?issn=1110-9173;year=2019;volume=20;issue=4;spage=139;epage=143;aulast=Albialybevacizumabmitomycin cprimary pterygiumrecurrence
spellingShingle Hani A Albialy
Haitham Y Al-Nashar
Subconjunctival bevacizumab injection versus mitomycin C application after primary pterygium surgery
Delta Journal of Ophthalmology
bevacizumab
mitomycin c
primary pterygium
recurrence
title Subconjunctival bevacizumab injection versus mitomycin C application after primary pterygium surgery
title_full Subconjunctival bevacizumab injection versus mitomycin C application after primary pterygium surgery
title_fullStr Subconjunctival bevacizumab injection versus mitomycin C application after primary pterygium surgery
title_full_unstemmed Subconjunctival bevacizumab injection versus mitomycin C application after primary pterygium surgery
title_short Subconjunctival bevacizumab injection versus mitomycin C application after primary pterygium surgery
title_sort subconjunctival bevacizumab injection versus mitomycin c application after primary pterygium surgery
topic bevacizumab
mitomycin c
primary pterygium
recurrence
url http://www.djo.eg.net/article.asp?issn=1110-9173;year=2019;volume=20;issue=4;spage=139;epage=143;aulast=Albialy
work_keys_str_mv AT haniaalbialy subconjunctivalbevacizumabinjectionversusmitomycincapplicationafterprimarypterygiumsurgery
AT haithamyalnashar subconjunctivalbevacizumabinjectionversusmitomycincapplicationafterprimarypterygiumsurgery