20% ethanol assists the excision of primary pterygium

AIM: To introduce a technique to improve the excision of primary pterygium and evaluate the surgical outcomes.METHODS: Recorded of consecutive cases were reviewed of pterygium patients treated with pterygium removal between March 2015 and February 2016 in People's Hospital of Guangxi Zhuang Aut...

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Main Authors: Xiao-Nian Wu, Li Jiang, Ning-Ning Tang, Qing Chen, Feng-Mei Li, Cai-Qiong Zeng, Jian Lyu, Qi Chen, Fan Xu
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2021-07-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2021/7/202107002.pdf
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author Xiao-Nian Wu
Li Jiang
Ning-Ning Tang
Qing Chen
Feng-Mei Li
Cai-Qiong Zeng
Jian Lyu
Qi Chen
Fan Xu
author_facet Xiao-Nian Wu
Li Jiang
Ning-Ning Tang
Qing Chen
Feng-Mei Li
Cai-Qiong Zeng
Jian Lyu
Qi Chen
Fan Xu
author_sort Xiao-Nian Wu
collection DOAJ
description AIM: To introduce a technique to improve the excision of primary pterygium and evaluate the surgical outcomes.METHODS: Recorded of consecutive cases were reviewed of pterygium patients treated with pterygium removal between March 2015 and February 2016 in People's Hospital of Guangxi Zhuang Autonomous Region, China. Primary nasal pterygium patients with at least 3mo follow-up periods were included. Finally, 85 patients(85 eyes)were investigated, 44 eyes were operated with 20% ethanol(the study group)and 41 eyes were operated without 20% ethanol(the control group).RESULTS: All of the 85 patients enrolled had no intraoperative and postoperative complications. The mean healing time of the corneal epithelium for the study group was statistically significant different of 2.84±0.43d compared with the control group of 3.12±0.64d(P<0.05). Overall, postoperative symptoms(pain, irritation, foreign body sensation and epiphora)were significantly different in postoperative 3d between the two groups(P<0.05). No statistically significant differences in corneal endothelium morphologies were found in two groups between preoperative and 2wk, 1 and 3mo postoperative, or between the two groups at any corresponding time point(all P>0.05). Between the two groups, there were no statistically significant differences in best-corrected visual acuity(BCVA)at preoperative, postoperative 2wk and 1mo(all P>0.05), but statistically significant difference was found in BCVA at the 3mo after surgery(P<0.05).CONCLUSION: The removal of primary pterygium with 20% ethanol is a simple and safe technique that helps to establish a clear separation plane between the pterygium and the underlying cornea.
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spelling doaj.art-98fa9cd2a25d4b96ac7ca794def59b482022-12-21T20:38:16ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51232021-07-012171143114910.3980/j.issn.1672-5123.2021.7.0220210700220% ethanol assists the excision of primary pterygiumXiao-Nian Wu0Li Jiang1Ning-Ning Tang2Qing Chen3Feng-Mei Li4Cai-Qiong Zeng5Jian Lyu6Qi Chen7Fan Xu8Department of Ophthalmology, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, Guangxi Zhuang Autonomous Region, China; Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, ChinaDepartment of Ophthalmology, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, Guangxi Zhuang Autonomous Region, China; Medical Institute of Eye Diseases, Guangxi Academy of Medical Sciences, Nanning 530021, Guangxi Zhuang Autonomous Region, China;Co-first authors: Xiao-Nian Wu and Li JiangDepartment of Ophthalmology, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, Guangxi Zhuang Autonomous Region, China; Medical Institute of Eye Diseases, Guangxi Academy of Medical Sciences, Nanning 530021, Guangxi Zhuang Autonomous Region, China;Co-first authors: Xiao-Nian Wu and Li JiangDepartment of Ophthalmology, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, Guangxi Zhuang Autonomous Region, China; Medical Institute of Eye Diseases, Guangxi Academy of Medical Sciences, Nanning 530021, Guangxi Zhuang Autonomous Region, China;Co-first authors: Xiao-Nian Wu and Li JiangDepartment of Ophthalmology, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, Guangxi Zhuang Autonomous Region, China; Medical Institute of Eye Diseases, Guangxi Academy of Medical Sciences, Nanning 530021, Guangxi Zhuang Autonomous Region, China;Co-first authors: Xiao-Nian Wu and Li JiangDepartment of Ophthalmology, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, Guangxi Zhuang Autonomous Region, China; Medical Institute of Eye Diseases, Guangxi Academy of Medical Sciences, Nanning 530021, Guangxi Zhuang Autonomous Region, China;Co-first authors: Xiao-Nian Wu and Li JiangDepartment of Ophthalmology, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, Guangxi Zhuang Autonomous Region, China; Medical Institute of Eye Diseases, Guangxi Academy of Medical Sciences, Nanning 530021, Guangxi Zhuang Autonomous Region, China;Co-first authors: Xiao-Nian Wu and Li JiangDepartment of Ophthalmology, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, Guangxi Zhuang Autonomous Region, China; Medical Institute of Eye Diseases, Guangxi Academy of Medical Sciences, Nanning 530021, Guangxi Zhuang Autonomous Region, China;Co-first authors: Xiao-Nian Wu and Li JiangDepartment of Ophthalmology, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, Guangxi Zhuang Autonomous Region, China; Medical Institute of Eye Diseases, Guangxi Academy of Medical Sciences, Nanning 530021, Guangxi Zhuang Autonomous Region, China;Co-first authors: Xiao-Nian Wu and Li JiangAIM: To introduce a technique to improve the excision of primary pterygium and evaluate the surgical outcomes.METHODS: Recorded of consecutive cases were reviewed of pterygium patients treated with pterygium removal between March 2015 and February 2016 in People's Hospital of Guangxi Zhuang Autonomous Region, China. Primary nasal pterygium patients with at least 3mo follow-up periods were included. Finally, 85 patients(85 eyes)were investigated, 44 eyes were operated with 20% ethanol(the study group)and 41 eyes were operated without 20% ethanol(the control group).RESULTS: All of the 85 patients enrolled had no intraoperative and postoperative complications. The mean healing time of the corneal epithelium for the study group was statistically significant different of 2.84±0.43d compared with the control group of 3.12±0.64d(P<0.05). Overall, postoperative symptoms(pain, irritation, foreign body sensation and epiphora)were significantly different in postoperative 3d between the two groups(P<0.05). No statistically significant differences in corneal endothelium morphologies were found in two groups between preoperative and 2wk, 1 and 3mo postoperative, or between the two groups at any corresponding time point(all P>0.05). Between the two groups, there were no statistically significant differences in best-corrected visual acuity(BCVA)at preoperative, postoperative 2wk and 1mo(all P>0.05), but statistically significant difference was found in BCVA at the 3mo after surgery(P<0.05).CONCLUSION: The removal of primary pterygium with 20% ethanol is a simple and safe technique that helps to establish a clear separation plane between the pterygium and the underlying cornea.http://ies.ijo.cn/cn_publish/2021/7/202107002.pdfpterygiumethanolalcoholexcisionspecular microscopy
spellingShingle Xiao-Nian Wu
Li Jiang
Ning-Ning Tang
Qing Chen
Feng-Mei Li
Cai-Qiong Zeng
Jian Lyu
Qi Chen
Fan Xu
20% ethanol assists the excision of primary pterygium
Guoji Yanke Zazhi
pterygium
ethanol
alcohol
excision
specular microscopy
title 20% ethanol assists the excision of primary pterygium
title_full 20% ethanol assists the excision of primary pterygium
title_fullStr 20% ethanol assists the excision of primary pterygium
title_full_unstemmed 20% ethanol assists the excision of primary pterygium
title_short 20% ethanol assists the excision of primary pterygium
title_sort 20 ethanol assists the excision of primary pterygium
topic pterygium
ethanol
alcohol
excision
specular microscopy
url http://ies.ijo.cn/cn_publish/2021/7/202107002.pdf
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