Low recurrence rate of anchored conjunctival rotation flap technique in pterygium surgery

Abstract Background To report the recurrence rate for an anchored conjunctival rotation flap technique in primary pterygium surgery. Methods Primary pterygium surgeries performed using anchored conjunctival rotation flap techniques (110 eyes in 110 patients) with a minimum follow-up of 12 months wer...

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Main Authors: Dong Ju Kim, Jimmy K. Lee, Roy S. Chuck, Choul Yong Park
Format: Article
Language:English
Published: BMC 2017-10-01
Series:BMC Ophthalmology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12886-017-0587-z
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author Dong Ju Kim
Jimmy K. Lee
Roy S. Chuck
Choul Yong Park
author_facet Dong Ju Kim
Jimmy K. Lee
Roy S. Chuck
Choul Yong Park
author_sort Dong Ju Kim
collection DOAJ
description Abstract Background To report the recurrence rate for an anchored conjunctival rotation flap technique in primary pterygium surgery. Methods Primary pterygium surgeries performed using anchored conjunctival rotation flap techniques (110 eyes in 110 patients) with a minimum follow-up of 12 months were reviewed. In this technique, a conjunctival flap is rotated to cover the bare sclera and suture-fixated with either 8–0 polyglactin (41 eyes) or 10–0 nylon (69 eyes). The recurrence rate was determined, and the two suture materials utilized were compared. Results The recurrence rate was 2.71% (3 cases in 110 eyes) when an anchored conjunctival rotation flap technique was used and patients were monitored for 26.40 ± 17.09 months. Interestingly, the recurrences were only observed in polyglactin-sutured eyes. No recurrence was detected in nylon-sutured eyes. No other complications were observed in either group. Conclusions The anchored conjunctival rotation flap technique for pterygium surgery has a relatively low recurrence rate. Nylon suture-fixation of the flap was found to be superior to polyglactin suture-fixation in preventing recurrence.
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spelling doaj.art-da8dc827dc414366be3228995dc582d42022-12-22T01:34:22ZengBMCBMC Ophthalmology1471-24152017-10-011711610.1186/s12886-017-0587-zLow recurrence rate of anchored conjunctival rotation flap technique in pterygium surgeryDong Ju Kim0Jimmy K. Lee1Roy S. Chuck2Choul Yong Park3Department of Ophthalmology, Dongguk University, Ilsan HospitalDepartment of Ophthalmology and Visual Sciences, Montefiore Medical Center, Albert Einstein College of MedicineDepartment of Ophthalmology and Visual Sciences, Montefiore Medical Center, Albert Einstein College of MedicineDepartment of Ophthalmology, Dongguk University, Ilsan HospitalAbstract Background To report the recurrence rate for an anchored conjunctival rotation flap technique in primary pterygium surgery. Methods Primary pterygium surgeries performed using anchored conjunctival rotation flap techniques (110 eyes in 110 patients) with a minimum follow-up of 12 months were reviewed. In this technique, a conjunctival flap is rotated to cover the bare sclera and suture-fixated with either 8–0 polyglactin (41 eyes) or 10–0 nylon (69 eyes). The recurrence rate was determined, and the two suture materials utilized were compared. Results The recurrence rate was 2.71% (3 cases in 110 eyes) when an anchored conjunctival rotation flap technique was used and patients were monitored for 26.40 ± 17.09 months. Interestingly, the recurrences were only observed in polyglactin-sutured eyes. No recurrence was detected in nylon-sutured eyes. No other complications were observed in either group. Conclusions The anchored conjunctival rotation flap technique for pterygium surgery has a relatively low recurrence rate. Nylon suture-fixation of the flap was found to be superior to polyglactin suture-fixation in preventing recurrence.http://link.springer.com/article/10.1186/s12886-017-0587-zPterygiumFlapAnchoredRecurrenceNylonPolyglactin
spellingShingle Dong Ju Kim
Jimmy K. Lee
Roy S. Chuck
Choul Yong Park
Low recurrence rate of anchored conjunctival rotation flap technique in pterygium surgery
BMC Ophthalmology
Pterygium
Flap
Anchored
Recurrence
Nylon
Polyglactin
title Low recurrence rate of anchored conjunctival rotation flap technique in pterygium surgery
title_full Low recurrence rate of anchored conjunctival rotation flap technique in pterygium surgery
title_fullStr Low recurrence rate of anchored conjunctival rotation flap technique in pterygium surgery
title_full_unstemmed Low recurrence rate of anchored conjunctival rotation flap technique in pterygium surgery
title_short Low recurrence rate of anchored conjunctival rotation flap technique in pterygium surgery
title_sort low recurrence rate of anchored conjunctival rotation flap technique in pterygium surgery
topic Pterygium
Flap
Anchored
Recurrence
Nylon
Polyglactin
url http://link.springer.com/article/10.1186/s12886-017-0587-z
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AT jimmyklee lowrecurrencerateofanchoredconjunctivalrotationflaptechniqueinpterygiumsurgery
AT royschuck lowrecurrencerateofanchoredconjunctivalrotationflaptechniqueinpterygiumsurgery
AT choulyongpark lowrecurrencerateofanchoredconjunctivalrotationflaptechniqueinpterygiumsurgery