Pterygium Surgery Using Dermabrader.

Lee, Jeong Ho; Kim, Suk Dong

Original Article

Journal of the Korean Ophthalmological Society 1998;39(12):2911-2916.
Published online December 1, 1998.

Pterygium Surgery Using Dermabrader.

Jeong Ho Lee, Suk Dong Kim

Department of Ophthalmology, Holy Family Hospital, The Catholic University.

Dermabrader 를 이용한 군날개 수술법

이정호(Jeong Ho Lee),김석동(Suk Dong Kim)

Abstract

The aim of this study was to evaluate safety and effectiveness of dermabrader to smooth the wound bed in pterygium surgery. A total dof 69 eyes of 62 patients were divided into two groups according to surgical method. 33 eyes of 29 patients who underwent pterygium surgery with bare-sclera technique and smoothing of the wound bed using dermabrader were included in group 1 and 36 eyes of 33 patients with bare aclera technique only were included in group 2. Postoperatively, the eyes were medically treated with topical mitomycin C(0.02%) two times per day for 5 days in both groups. The mean follow up visit was 12.1+/-2.89 months(range: 9-15months). Recurrence developed in 3(9.1%) of 33 eyes in group 1, while in 12(33.3%) of 36 eyes in group 2. This difference was statistically significant(p<0.05). This result suggests that the excision of pterygium using the bare-sclera technique, smoothing of the wound bed using dermabrader and low dose topical mitomycin C(0.02%) eye drops is a safe and effective method with a low recurrence rate.

Key Words: Bare-sclera technique;Dermabrader;Mitomycin C