| A Comparative Study of Recurrence Rate in Bilateral Pterygium Surgery: Conjunctival Autograft Transplantation Versus Bare Scleral Techinque. |
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Young Mun Koh, Jeung Young Kim, Nam Chul Ji |
1Department of Ophthalmology, The Chosun University Medical College.
2Dr. Kim Eye Clinic. |
| 양안 군날개 환자에서 자가 결막 이식술과 공막노출술의 재발률에 관한 비교 연구 |
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고영문(Young Mun Koh),김정용(Jeung Young Kim),지남철(Nam Chul Ji) |
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| Abstract |
PURPOSE
When the patients with both recurrent and primary pterygia, We performed conjunctival autograft transplantation for recurrent pterygium and bare sclera technique for primary pteygium. We then compared the recurrence of each case in order to find out the usefulness of each surgery and effective mothod of surgery. METHODS: We performed follow-up on 26 eyes of 13 patients for 14 months (mean); 8 patients (16 eyes) were female, and 5 patients (10 eyes) male. The mean age of the patients was 49.5 years ranging from 37 to 63. In the operation, all patients received with 0.02% Mitomycin C for 1 minute. RESULTS: Pterygium recurred in 3 of 13 eyes which underwent bare sclera technigue, and did not recur in 13 eyes undergoing conjunctival autograft transplantation, but there was no significant difference because of a small number of study cases (P=0.07). We found postoperative complications such as corneal fila-ment and conjunctival granuloma in the case of bare sclera technique; but none in conjunctival autograft transplantation. CONCLUSIONS: We recommend a conjunctival autograft transplantation with application of low concen-tration of Mitomycin C as a safe and effective method for recurrent pterygium or pterygium with high recurrence rate. |
| Key Words:
Bare sclera technique;Conjunctival autograft transplantaion;Mitomycin-C;Pterygium |
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