Journal ArticleDOI
Treatment of pterygium.
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TLDR
In conclusion, excision and adjunctive treatment with mitomycin C or conjunctival autograft is the most acceptable and most popular mode of treating both primary and recurrent pterygium.Abstract:
The treatment of ocular pterygium has been subjected to the development and application of various new strategies in the last few years. The worrisome problem of recurrence seems to have been significantly reduced with the newer methods of treatment. The field is however, still evolving. This review sets out to examine the various newer approaches to treating pterygium and in spite of the recent developments, to highlight the remaining challenges thereby suggesting the possible direction of future research. Also, to suggest treatment options for Ophthalmologists working in environments with limited resources. A library search and Internet search of PubMed and Google was conducted in 2010. Search terms included "pterygium in combination with surgery", "radiotherapy", "chemotherapy", "graft", and "recurrence." Abstracts were reviewed and relevant articles especially those published from the year 2000 to date were given more attention and when possible, reviewed in full. The relevant references in such articles were also reviewed. In conclusion, excision and adjunctive treatment with mitomycin C or conjunctival autograft is the most acceptable and most popular mode of treating both primary and recurrent pterygium. Outcomes seem to have been further improved with adjuvant combination therapy and the introduction of newer approaches to treatment.read more
Citations
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Journal ArticleDOI
A Retrospective Study to Compare the Recurrence Rate After Treatment of Pterygium by Conjunctival Autograft, Primary Closure, and Amniotic Membrane Transplantation.
TL;DR: A retrospective study at a single center to compare conjunctival autograft with primary closure and amniotic membrane transplantation for primary pterygium excision showed a significantly lower recurrence rate after surgery using a conjunctivalscript.
Journal ArticleDOI
Conjunctival autograft in primary and recurrent pterygium: a study.
TL;DR: Autogenous conjunctival grafting is a safe, uncomplicated, quick procedure and does not involve loss of tissue and prevents recurrence of pterygium and reduces the risk of granuloma formation, scleral thinning and necrosis.
Journal ArticleDOI
Long-term comparison of fibrin tissue glue and vicryl suture in conjunctival autografting for pterygium surgery.
TL;DR: It is suggested that fibrin tissue glue provides adequate adhesion and that graft loss will not be a problem if protective shields are used in patients postoperatively, compared with use of the traditional 8.0 vicryl suturing technique.
Journal ArticleDOI
Comparison of free conjunctival autograft versus amniotic membrane transplantation for pterygium surgery
TL;DR: No statistically significant difference was seen in visual acuity changes and epithelial healing in CAT and AMT groups, but more inflammation and recurrence rate were seen in AMT group.
Journal ArticleDOI
A novel technique of sutureless and glueless conjunctival autografting in pterygium surgery by electrocautery pen.
TL;DR: Using ECP for the attachment of conjunctival autograft in pterygium surgery is safe, fast, simple, and economical with less postoperative discomfort.
References
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Journal ArticleDOI
Serious Complications of Topical Mitomycin-C after Pterygium Surgery
Roy S. Rubinfeld,Roy S. Rubinfeld,Roswell R. Pfister,Raymond M. Stein,C. Stephen Foster,Neil F. Martin,Neil F. Martin,Neil F. Martin,Samuel Stoleru,Samuel Stoleru,Audrey R. Talley,Mark G. Speaker +11 more
TL;DR: If mitomycin is used, the lowest possible concentration should be applied for the shortest time period in an effort to avoid these complications and the authors urge extreme caution in the use of this medication.
Journal ArticleDOI
Comparison of Conjunctival Autografts, Amniotic Membrane Grafts, and Primary Closure for Pterygium Excision
TL;DR: The relatively low recurrence rate for primary pterygia allows one to use amniotic membrane transplantation as an alternative first choice, especially for advanced cases with bilateral heads or those who might need glaucoma surgery later.
Journal ArticleDOI
Conjunctival autograft transplantation for advanced and recurrent pterygium
TL;DR: Free conjunctival grafts from the superotemporal bulbar conjunctiva of the same eye were used to resurface exposed sclera and extraocular muscle and, in all 14 patients with diplopia, extraocular movement was restored and the surgical approach is recommended as a safe and effective means of treating pterygia complicated by Conjunctival scarring withextraocular muscle involvement and requiring concurrent fornix reconstruction.
Journal ArticleDOI
Pathogenesis of pterygia: role of cytokines, growth factors, and matrix metalloproteinases
TL;DR: The current knowledge on pterygium pathogenesis is summarised, highlighting recent developments and novel data is provided further demonstrating the complexity of this intriguing disease.
Journal ArticleDOI
The Treatment Of Pterygium
TL;DR: It will be important to develop a grading system, and surgeons will need to be conservative in the treatment of pterygium until such time as a single treatment provides a lower recurrence rate and complication rate.