TITLE

Randomised controlled study of conjunctival autograft versus amniotic membrane graft in pterygium excision

AUTHOR(S)
Luanratanakorn, P.; Ratanapakorn, T.; Suwan-apichon, O.; Chuck, R. S.
PUB. DATE
December 2006
SOURCE
British Journal of Ophthalmology;Dec2006, Vol. 90 Issue 12, p1476
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Aim: To determine whether amniotic membrane can be used as an alternative to conjunctival autograft after pterygium excision. Methods: 287 eyes with either primary or recurrent pterygium were included in this study. All eyes were randomised to undergo conjunctival autograft or amniotic membrane transplantation after pterygium excision by a single surgeon. 106 eyes in primary pterygium and 14 eyes in the recurrent group were treated with conjunctival autograft, and 148 eyes in primary pterygium and 19 eyes in the recurrent group were treated with amniotic membrane transplantation. Patients were followed up at 6 weeks and 6 months after operation. The main outcome measurement was recurrence rate after surgery. Results: In the conjunctival group, the recurrence rate was 12.3%, 21.4% and 13.1% for primary, recurrent and all pterygia, respectively. In the amniotic membrane group, the recurrence rate was 25.0%, 52.6% and 28.1% for primary, recurrent and all pterygia, respectively. The recurrence rate for all pterygia in the amniotic membrane group was significantly higher than that in the conjunctival group (p=0.003). Conclusions: Amniotic membrane graft had a higher recurrence rate than conjunctival autograft. However, it is an alternative choice, especially for advanced cases with bilateral heads or patients who might need glaucoma surgery later.
ACCESSION #
23334556

 

Related Articles

  • Primary pterygium excision involves 'peeling-off' technique. John, Thomas // Ocular Surgery News;10/10/2008, Vol. 26 Issue 19, p22 

    The article discusses the step-by-step procedures involved the excision of pterygium using a peeling-off technique combined with preserved human amniotic membrane transplantation with the use of fibrin glue. It is said that the surgical indications for the removal of a pterygium include...

  • Surgical method sets higher standard for managing pterygium. Agarwal, Amar // Ocular Surgery News;8/10/2008, Vol. 26 Issue 15, p45 

    The article discusses the management of pterygium. Surgeries for pterygium, one of the oldest pathologies known to ophthalmologists, can range from simple excision to techniques with exotic detail and meticulous maneuvers. The basis for the surgical steps involves a lamellar approach along with...

  • Is pterygia rare in young patients? Fraser, Scott // Pulse;7/26/2004, Vol. 64 Issue 30, p52 

    Discusses the reason for the occurrence of ptyregia in young patients. Description of pterygium; Factor for the development of the eye disease; Symptomatology of the disease.

  • Coding for pterygium: diagnostics and therapeutics. Freeman, Neal // Ophthalmology Times;2/15/2008, Vol. 33 Issue 4, p53 

    The article discusses the factors taken into account for coding the disease, pterygium. Pterygium coding is instructive as a broad spectrum of coding points apply to the diagnosis and management of the disease. It suggests that diagnosis should be chosen to the highest level of specificity....

  • Managing pterygia and pingueculae. Hadden, Peter // New Zealand Doctor;11/2/2005, p25 

    Presents information on pterygia and pingueculae, a common easily diagnosed conditions that may be the cause of ocular discomfort and blurred vision. Causes of such conditions; Topical medications to relieve the occasional or mild symptoms of pingueculae; Most common indications of pterygia.

  • Split-conjunctival grafts for double-head pterygium. Maheshwari, Sejal // Indian Journal of Ophthalmology;Mar2005, Vol. 53 Issue 1, p53 

    Purpose: To describe the technique of split-conjunctival grafts (SCG) for double-head pterygia and to evaluate its postoperative outcome.Method: A retrospective analysis of seven eyes with primary double-head pterygium was done. All eyes received pterygium excision with...

  • Evaluation of Limbal Conjunctival Autograft and Low-Dose Mitomycin C in the Treatment of Recurrent Pterygium. Nabawi, Khaled S.; Ghonim, Mahfouz A.; Ali, Mohamad H. // Ophthalmic Surgery, Lasers & Imaging;May/Jun2003, Vol. 34 Issue 3, p193 

    BACKGROUND AND OBJECTIVE: To assess the effectiveness of limbal conjunctival autograft and low-dose mitomycin C in the treatment of recurrent pterygium. PATIENTS AND METHODS: Thirty-four eyes with recurrent pterygium underwent surgical excision followed by the intraoperative application of...

  • Pterygium removal techniques unsubstantiated by solid data. Misiano, John // Ocular Surgery News;6/25/2008, Vol. 26 Issue 12, p50 

    The article reports on the techniques of pterygium removal including bare sclera approach, beta radiation, amniotic membrane transplant, and conjunctival autograft surgery which lacks solid data. Penny A. Asbell, M.D. said that there is very little data available in terms of studies and related...

  • Amniotic membrane has several applications in conjunctival diseases. Jacob, Soosan; Agarwal, Amar // Ocular Surgery News Europe;Oct2012, Vol. 23 Issue 9, p26 

    The article discusses the applications of amniotic membrane in conjunctival diseases. This membrane is used for its anti-inflammatory and anti-angiogenic properties, as well as its ability to promote epithelial differentiation. It tackles some of the situations that may require amniotic membrane...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics