One-year results of the triple procedure for primary pterygia

Purpose The aim of this work was to study the effectiveness and potential complications of adjunctive intraoperative mitomycin-C (MMC) application combined with limbal-conjunctival autografting after primary pterygium excision. Patients and methods Fifty-seven eyes of 43 patients with primary pteryg...

Full description

Bibliographic Details
Main Authors: Hisham A Saad, Ahmed M Ghoneim, Waleed A Allam
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Delta Journal of Ophthalmology
Subjects:
Online Access:http://www.djo.eg.net/article.asp?issn=1110-9173;year=2015;volume=16;issue=2;spage=45;epage=49;aulast=Saad
_version_ 1798022007149821952
author Hisham A Saad
Ahmed M Ghoneim
Waleed A Allam
author_facet Hisham A Saad
Ahmed M Ghoneim
Waleed A Allam
author_sort Hisham A Saad
collection DOAJ
description Purpose The aim of this work was to study the effectiveness and potential complications of adjunctive intraoperative mitomycin-C (MMC) application combined with limbal-conjunctival autografting after primary pterygium excision. Patients and methods Fifty-seven eyes of 43 patients with primary pterygia were randomized to receive pterygium excision, followed by either a free conjunctival autograft (control group, n = 27) or an adjunctive intraoperative MMC 0.02% application for 2 min and limbal-conjunctival autograft (triple procedure group, n = 30). All patients were followed for 12 months. Results After 1 year, the recurrence rate was 14.81 and 0% in the control and the triple procedure groups, respectively (P < 0.05). Most complications were transient and mild. The duration of surgery was significantly shorter in the control group (P < 0.01). The surgery did not significantly alter the corrected distance visual acuity or the average absolute astigmatism in either group. Conclusion Simple excision of pterygium combined with adjunctive intraoperative MMC 0.02% application for 2 min and limbal-conjunctival autografting is a safe and effective way of treating primary pterygia.
first_indexed 2024-04-11T17:22:41Z
format Article
id doaj.art-a10f78c48d6645648cf936ba00077364
institution Directory Open Access Journal
issn 1110-9173
2090-4835
language English
last_indexed 2024-04-11T17:22:41Z
publishDate 2015-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Delta Journal of Ophthalmology
spelling doaj.art-a10f78c48d6645648cf936ba000773642022-12-22T04:12:28ZengWolters Kluwer Medknow PublicationsDelta Journal of Ophthalmology1110-91732090-48352015-01-01162454910.4103/1110-9173.168526One-year results of the triple procedure for primary pterygiaHisham A SaadAhmed M GhoneimWaleed A AllamPurpose The aim of this work was to study the effectiveness and potential complications of adjunctive intraoperative mitomycin-C (MMC) application combined with limbal-conjunctival autografting after primary pterygium excision. Patients and methods Fifty-seven eyes of 43 patients with primary pterygia were randomized to receive pterygium excision, followed by either a free conjunctival autograft (control group, n = 27) or an adjunctive intraoperative MMC 0.02% application for 2 min and limbal-conjunctival autograft (triple procedure group, n = 30). All patients were followed for 12 months. Results After 1 year, the recurrence rate was 14.81 and 0% in the control and the triple procedure groups, respectively (P < 0.05). Most complications were transient and mild. The duration of surgery was significantly shorter in the control group (P < 0.01). The surgery did not significantly alter the corrected distance visual acuity or the average absolute astigmatism in either group. Conclusion Simple excision of pterygium combined with adjunctive intraoperative MMC 0.02% application for 2 min and limbal-conjunctival autografting is a safe and effective way of treating primary pterygia.http://www.djo.eg.net/article.asp?issn=1110-9173;year=2015;volume=16;issue=2;spage=45;epage=49;aulast=Saadlimbal-conjunctival autograftmitomycin-cprimary pterygia
spellingShingle Hisham A Saad
Ahmed M Ghoneim
Waleed A Allam
One-year results of the triple procedure for primary pterygia
Delta Journal of Ophthalmology
limbal-conjunctival autograft
mitomycin-c
primary pterygia
title One-year results of the triple procedure for primary pterygia
title_full One-year results of the triple procedure for primary pterygia
title_fullStr One-year results of the triple procedure for primary pterygia
title_full_unstemmed One-year results of the triple procedure for primary pterygia
title_short One-year results of the triple procedure for primary pterygia
title_sort one year results of the triple procedure for primary pterygia
topic limbal-conjunctival autograft
mitomycin-c
primary pterygia
url http://www.djo.eg.net/article.asp?issn=1110-9173;year=2015;volume=16;issue=2;spage=45;epage=49;aulast=Saad
work_keys_str_mv AT hishamasaad oneyearresultsofthetripleprocedureforprimarypterygia
AT ahmedmghoneim oneyearresultsofthetripleprocedureforprimarypterygia
AT waleedaallam oneyearresultsofthetripleprocedureforprimarypterygia