Investigation of the clinical and histopathological features of double pterygium

AIM: To investigate the differences of clinical signs and pathological structure of unilateral nasal pterygium and unilateral double pterygium <p>METHODS: Retrospective study. Totally 11 unilateral nasal pterygium and 11 unilateral double pterygium were collected to observe the size of the tis...

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Main Authors: Juan Peng, Yan Mao, Xiang-Yin Sha
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2017-09-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2017/9/201709036.pdf
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author Juan Peng
Yan Mao
Xiang-Yin Sha
author_facet Juan Peng
Yan Mao
Xiang-Yin Sha
author_sort Juan Peng
collection DOAJ
description AIM: To investigate the differences of clinical signs and pathological structure of unilateral nasal pterygium and unilateral double pterygium <p>METHODS: Retrospective study. Totally 11 unilateral nasal pterygium and 11 unilateral double pterygium were collected to observe the size of the tissue area, the classification of blood vessels, the transparency and the break-up time of tear film. The 11 surgically excised double pterygia(11 eyes)and 6 samples of normal conjunctiva were collected for the study. With 40g/L paraformaldehyde fixation, paraffin sections were stained with Haematoxylin-Eosin, to observe the differences with nasal and temporal pathology under light microscope. <p>RESULTS: In unilateral double pterygium, the tear break-up time was significantly shorter than that of unilateral nasal pterygium(<i>t</i>=3.410, <i>P</i>=0.003). In unilateral nasal pterygium, there was a significant negative correlation between tear film break-up time and tissue size(<i>r</i>=-0.927, <i>P</i><0.01)and transparency(<i>r</i>=-0.764,<i>P</i><0.01). In unilateral double pterygium, the tear break-up time was significantly negatively correlated with the growth time(<i>r</i>=-0.661, <i>P</i><0.05), tissue size(<i>r</i>=-0.775, <i>P</i><0.01)and transparency(<i>r</i>=-0.671,<i>P</i><0.05). In unilateral double pterygium, compared with the temporal side, the quantity of the layers of corneal epithelial cells(<i>t</i>=-7.351, <i>P</i><0.05), vessels(<i>t</i>=-7.400, <i>P</i><0.05)and inflammatory cells(<i>t</i>=-7.481, <i>P</i><0.05)increased. <p>CONCLUSION: Compared with unilateral nasal pterygium, the tear film break-up time of unilateral double pterygium was poor. In unilateral double pterygium, with high activity, the degree of proliferation of squamous epithelium, hyperplasia and inflammatory reaction are significantly higher than those of the temporal side.
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spelling doaj.art-6c67a15409304f95b80977ca7a48eba32022-12-22T03:53:26ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232017-09-011791746174910.3980/j.issn.1672-5123.2017.9.36Investigation of the clinical and histopathological features of double pterygiumJuan Peng0Yan Mao1Xiang-Yin Sha2Department of Ophthalmology, the Second Affiliated Hospital of Guangzhou Medical College, Guangzhou 510260, Guangdong Province, ChinaDepartment of Ophthalmology, the Second Affiliated Hospital of Guangzhou Medical College, Guangzhou 510260, Guangdong Province, ChinaDepartment of Ophthalmology, the Second Affiliated Hospital of Guangzhou Medical College, Guangzhou 510260, Guangdong Province, ChinaAIM: To investigate the differences of clinical signs and pathological structure of unilateral nasal pterygium and unilateral double pterygium <p>METHODS: Retrospective study. Totally 11 unilateral nasal pterygium and 11 unilateral double pterygium were collected to observe the size of the tissue area, the classification of blood vessels, the transparency and the break-up time of tear film. The 11 surgically excised double pterygia(11 eyes)and 6 samples of normal conjunctiva were collected for the study. With 40g/L paraformaldehyde fixation, paraffin sections were stained with Haematoxylin-Eosin, to observe the differences with nasal and temporal pathology under light microscope. <p>RESULTS: In unilateral double pterygium, the tear break-up time was significantly shorter than that of unilateral nasal pterygium(<i>t</i>=3.410, <i>P</i>=0.003). In unilateral nasal pterygium, there was a significant negative correlation between tear film break-up time and tissue size(<i>r</i>=-0.927, <i>P</i><0.01)and transparency(<i>r</i>=-0.764,<i>P</i><0.01). In unilateral double pterygium, the tear break-up time was significantly negatively correlated with the growth time(<i>r</i>=-0.661, <i>P</i><0.05), tissue size(<i>r</i>=-0.775, <i>P</i><0.01)and transparency(<i>r</i>=-0.671,<i>P</i><0.05). In unilateral double pterygium, compared with the temporal side, the quantity of the layers of corneal epithelial cells(<i>t</i>=-7.351, <i>P</i><0.05), vessels(<i>t</i>=-7.400, <i>P</i><0.05)and inflammatory cells(<i>t</i>=-7.481, <i>P</i><0.05)increased. <p>CONCLUSION: Compared with unilateral nasal pterygium, the tear film break-up time of unilateral double pterygium was poor. In unilateral double pterygium, with high activity, the degree of proliferation of squamous epithelium, hyperplasia and inflammatory reaction are significantly higher than those of the temporal side.http://ies.ijo.cn/cn_publish/2017/9/201709036.pdfunilateral double pterygiumunilateral nasal pterygiumclinical signspathological tissuepathological tissue
spellingShingle Juan Peng
Yan Mao
Xiang-Yin Sha
Investigation of the clinical and histopathological features of double pterygium
Guoji Yanke Zazhi
unilateral double pterygium
unilateral nasal pterygium
clinical signs
pathological tissue
pathological tissue
title Investigation of the clinical and histopathological features of double pterygium
title_full Investigation of the clinical and histopathological features of double pterygium
title_fullStr Investigation of the clinical and histopathological features of double pterygium
title_full_unstemmed Investigation of the clinical and histopathological features of double pterygium
title_short Investigation of the clinical and histopathological features of double pterygium
title_sort investigation of the clinical and histopathological features of double pterygium
topic unilateral double pterygium
unilateral nasal pterygium
clinical signs
pathological tissue
pathological tissue
url http://ies.ijo.cn/cn_publish/2017/9/201709036.pdf
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AT yanmao investigationoftheclinicalandhistopathologicalfeaturesofdoublepterygium
AT xiangyinsha investigationoftheclinicalandhistopathologicalfeaturesofdoublepterygium