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Use of supero-temporal free conjunctivo-limbal autograft in the surgical management of pterygium: our technique and results.
J Ayub Med Coll Abbottabad. 2009 Oct-Dec; 21(4):121-4.JA

Abstract

BACKGROUND

A pterygium is a fibro-vascular, wing shaped encroachment of the conjunctiva on to the cornea. The prevalence rates ranges from 0.7 to 31% among different populations and also influenced by age, race, and exposure to solar radiations. Ultraviolet light-induced damage to the limbal stem cell barrier with subsequent conjunctivalisation of the cornea is the currently accepted aetiology of this condition. Indication of surgery include visual impairment, cosmetic disfigurement, motility restriction, recurrent inflammation and interference with contact lens wear. This Study was conducted to know the safety, efficacy and success with supero-temporal free conjunctivo-limbal auto graft transplantation in the surgical management of pterygium.

METHODS

Prospective case series where supero temporal free conjunctivo-limbal auto grafting was performed on 72 eyes of 72 patients with vascular progressive pterygia. Pterygium recurrence was considered a surgical failure. Recurrence was defined as fibro vascular tissue crossing the corneo-scleral limbus on to the clear cornea in the area of previous pterygium excision before 6 months.

RESULTS

Recurrence of pterygium was noted in three out of 72 eyes (4.16%), after a minimum follow up of 12 months to maximum of 25 months (Mean 14.6 months). No major intra-operative or postoperative complications were encountered.

CONCLUSION

Supero temporal free conjunctivo-limbal auto graft appears to be a safe and effective technique in the surgical management of pterygium. The inclusion of limbal tissue in the conjunctival auto graft following pterygium excision appears to be essential to ensure low recurrence rate.

Authors+Show Affiliations

Department of Ophthalmology, Shifa College of Medicine and International Hospital, 11-8/4, Islamabad, Pakistan.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

21067043

Citation

Sadiq, Muhammad Naqaish, et al. "Use of Supero-temporal Free Conjunctivo-limbal Autograft in the Surgical Management of Pterygium: Our Technique and Results." Journal of Ayub Medical College, Abbottabad : JAMC, vol. 21, no. 4, 2009, pp. 121-4.
Sadiq MN, Arif AS, Jaffar S, et al. Use of supero-temporal free conjunctivo-limbal autograft in the surgical management of pterygium: our technique and results. J Ayub Med Coll Abbottabad. 2009;21(4):121-4.
Sadiq, M. N., Arif, A. S., Jaffar, S., & Bhatia, J. (2009). Use of supero-temporal free conjunctivo-limbal autograft in the surgical management of pterygium: our technique and results. Journal of Ayub Medical College, Abbottabad : JAMC, 21(4), 121-4.
Sadiq MN, et al. Use of Supero-temporal Free Conjunctivo-limbal Autograft in the Surgical Management of Pterygium: Our Technique and Results. J Ayub Med Coll Abbottabad. 2009 Oct-Dec;21(4):121-4. PubMed PMID: 21067043.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Use of supero-temporal free conjunctivo-limbal autograft in the surgical management of pterygium: our technique and results. AU - Sadiq,Muhammad Naqaish, AU - Arif,Abdus Salam, AU - Jaffar,Sulman, AU - Bhatia,Jagdish, PY - 2010/11/12/entrez PY - 2010/11/12/pubmed PY - 2011/1/5/medline SP - 121 EP - 4 JF - Journal of Ayub Medical College, Abbottabad : JAMC JO - J Ayub Med Coll Abbottabad VL - 21 IS - 4 N2 - BACKGROUND: A pterygium is a fibro-vascular, wing shaped encroachment of the conjunctiva on to the cornea. The prevalence rates ranges from 0.7 to 31% among different populations and also influenced by age, race, and exposure to solar radiations. Ultraviolet light-induced damage to the limbal stem cell barrier with subsequent conjunctivalisation of the cornea is the currently accepted aetiology of this condition. Indication of surgery include visual impairment, cosmetic disfigurement, motility restriction, recurrent inflammation and interference with contact lens wear. This Study was conducted to know the safety, efficacy and success with supero-temporal free conjunctivo-limbal auto graft transplantation in the surgical management of pterygium. METHODS: Prospective case series where supero temporal free conjunctivo-limbal auto grafting was performed on 72 eyes of 72 patients with vascular progressive pterygia. Pterygium recurrence was considered a surgical failure. Recurrence was defined as fibro vascular tissue crossing the corneo-scleral limbus on to the clear cornea in the area of previous pterygium excision before 6 months. RESULTS: Recurrence of pterygium was noted in three out of 72 eyes (4.16%), after a minimum follow up of 12 months to maximum of 25 months (Mean 14.6 months). No major intra-operative or postoperative complications were encountered. CONCLUSION: Supero temporal free conjunctivo-limbal auto graft appears to be a safe and effective technique in the surgical management of pterygium. The inclusion of limbal tissue in the conjunctival auto graft following pterygium excision appears to be essential to ensure low recurrence rate. SN - 1025-9589 UR - https://www.unboundmedicine.com/medline/citation/21067043/Use_of_supero-temporal_free_conjunctivo-limbal_autograft_in_the_surgical_management_of_pterygium:_our_technique_and_results DB - PRIME DP - Unbound Medicine ER -