Role of concanavalin A lectin in recognition of pterygium remnant after surgical excision: Preliminary results of a prospective study

<b>Background: </b> Pterygium is one of the most common conjunctival diseases among ophthalmic pathologies. The frequency of recurrences is high, either after surgical treatment or after treatment combined with mitomycin C or beta-radiation therapy. <b> Aims: </b> The purpose...

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Main Authors: Diaz-Gonzalez Juan, Mayoral-Chavez Miguel, Bohorquez Paulina, de la Torre del Pilar Gabriel, Hernandez-Cruz Pedro, Martinez-Cruz Ruth, Perez-Campos Eduardo
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2007-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2007;volume=55;issue=5;spage=349;epage=353;aulast=Diaz-Gonzalez
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author Diaz-Gonzalez Juan
Mayoral-Chavez Miguel
Bohorquez Paulina
de la Torre del Pilar Gabriel
Hernandez-Cruz Pedro
Martinez-Cruz Ruth
Perez-Campos Eduardo
author_facet Diaz-Gonzalez Juan
Mayoral-Chavez Miguel
Bohorquez Paulina
de la Torre del Pilar Gabriel
Hernandez-Cruz Pedro
Martinez-Cruz Ruth
Perez-Campos Eduardo
author_sort Diaz-Gonzalez Juan
collection DOAJ
description <b>Background: </b> Pterygium is one of the most common conjunctival diseases among ophthalmic pathologies. The frequency of recurrences is high, either after surgical treatment or after treatment combined with mitomycin C or beta-radiation therapy. <b> Aims: </b> The purpose of this study was to determine whether concanavalin A (ConA) lectin bound to the pterygial surface can be used to detect recurrence or remnants of pterygium after surgical excision. <b> Materials and Methods: </b> This was a prospective study on 20 patients with pterygium, divided in five stages, pre-surgery, early post-surgery (24h), late post-surgery (seven days), very late post-surgery (four weeks) and two months after the procedure. A drop of fluorescein-marked Con A (35 &#x00B5;g/mL)<b> </b> was instilled in the lower conjunctival eyelid sac and the eye was exposed to the light of a Wood&#x2032;s lamp for an average of five seconds. <b> Results: </b> Out of the 20 patients, eight patients were found to have fluorescent stretch marks over the scar corresponding to residual pterygial tissue at four weeks; two months after the procedure of re-surgery we observed no fluorescent remnants. All residual pterygia were confirmed through histochemistry studies. <b> Conclusion: </b> It was possible to detect remnants of pterygium in postoperative patients and recurrences in early pre-clinical stages through the visualization of fluorescent ConA bound to the pterygial surface.
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spelling doaj.art-583529f63dff4303a65d8830cf467b352022-12-22T02:44:10ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47382007-01-01555349353Role of concanavalin A lectin in recognition of pterygium remnant after surgical excision: Preliminary results of a prospective studyDiaz-Gonzalez JuanMayoral-Chavez MiguelBohorquez Paulinade la Torre del Pilar GabrielHernandez-Cruz PedroMartinez-Cruz RuthPerez-Campos Eduardo<b>Background: </b> Pterygium is one of the most common conjunctival diseases among ophthalmic pathologies. The frequency of recurrences is high, either after surgical treatment or after treatment combined with mitomycin C or beta-radiation therapy. <b> Aims: </b> The purpose of this study was to determine whether concanavalin A (ConA) lectin bound to the pterygial surface can be used to detect recurrence or remnants of pterygium after surgical excision. <b> Materials and Methods: </b> This was a prospective study on 20 patients with pterygium, divided in five stages, pre-surgery, early post-surgery (24h), late post-surgery (seven days), very late post-surgery (four weeks) and two months after the procedure. A drop of fluorescein-marked Con A (35 &#x00B5;g/mL)<b> </b> was instilled in the lower conjunctival eyelid sac and the eye was exposed to the light of a Wood&#x2032;s lamp for an average of five seconds. <b> Results: </b> Out of the 20 patients, eight patients were found to have fluorescent stretch marks over the scar corresponding to residual pterygial tissue at four weeks; two months after the procedure of re-surgery we observed no fluorescent remnants. All residual pterygia were confirmed through histochemistry studies. <b> Conclusion: </b> It was possible to detect remnants of pterygium in postoperative patients and recurrences in early pre-clinical stages through the visualization of fluorescent ConA bound to the pterygial surface.http://www.ijo.in/article.asp?issn=0301-4738;year=2007;volume=55;issue=5;spage=349;epage=353;aulast=Diaz-GonzalezConcanavalin A lectinpterygium
spellingShingle Diaz-Gonzalez Juan
Mayoral-Chavez Miguel
Bohorquez Paulina
de la Torre del Pilar Gabriel
Hernandez-Cruz Pedro
Martinez-Cruz Ruth
Perez-Campos Eduardo
Role of concanavalin A lectin in recognition of pterygium remnant after surgical excision: Preliminary results of a prospective study
Indian Journal of Ophthalmology
Concanavalin A lectin
pterygium
title Role of concanavalin A lectin in recognition of pterygium remnant after surgical excision: Preliminary results of a prospective study
title_full Role of concanavalin A lectin in recognition of pterygium remnant after surgical excision: Preliminary results of a prospective study
title_fullStr Role of concanavalin A lectin in recognition of pterygium remnant after surgical excision: Preliminary results of a prospective study
title_full_unstemmed Role of concanavalin A lectin in recognition of pterygium remnant after surgical excision: Preliminary results of a prospective study
title_short Role of concanavalin A lectin in recognition of pterygium remnant after surgical excision: Preliminary results of a prospective study
title_sort role of concanavalin a lectin in recognition of pterygium remnant after surgical excision preliminary results of a prospective study
topic Concanavalin A lectin
pterygium
url http://www.ijo.in/article.asp?issn=0301-4738;year=2007;volume=55;issue=5;spage=349;epage=353;aulast=Diaz-Gonzalez
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