Skip to main content

Advertisement

SpringerLink
Log in

Evaluation of the recurrence rate for pterygium treated with conjunctival autograft

  • Oculoplastics and Orbit
  • Published:
Graefe's Archive for Clinical and Experimental Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

The aim of this study was to evaluate the recurrence rate for the conjunctival autografts in the treatment of primary pterygium.

Methods

Thirty-six eyes of 36 patients with the diagnosis of primary pterygium underwent surgical excision and were treated with conjunctival autografts. Complications, recurrence rate, and final appearance of the cases were evaluated prospectively.

Results

Complications were observed in five cases; three eyes with Dellen ulcer and two cases with a Tenon’s cyst in the superior temporal quadrant. Recurrence was detected in three cases in the study group. The onset of recurrence was 4.5 months. Higher complication rates were detected among the patient group below 54 years old than in the patient group aged 54 years or over, 22.2 % vs 5.6 % respectively (p = 0.338). Complications were more frequent among male patients than among female patients, 22.2 % vs 5.6 % respectively (p = 0.338). Recurrence was detected in four cases (8 %), with an average recurrence time of 4.5 months.

Conclusion

We suggest that conjunctival autografting is an effective technique in primary pterygium in terms of low recurrence rate. Increasing patient age is associated with significantly less risk of recurrence and complication.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Sutphin JE, Chodosh J, Dana MR, Fowler WC, Reidy JJ, Weiss JS, Turgeon PW (2004) Clinical approach to depositions and degenerations of the conjunctiva, cornea, and sclera. In: Weingeist TM (ed) External disease and cornea, basic and clinical science course, section 8. American Academy of Ophthalmology, San Francisco, pp 343–358

    Google Scholar 

  2. Mohammed I (2011) Treatment of pterygium. Ann Afr Med 10:197–203

    Article  PubMed  Google Scholar 

  3. Rollon M, Perez-Gonzalez LE, Sentieri-Omarrementeria A, Martinez-Rodriguez R, Parente-Hernandez B, Junceda-Moreno J (2009) Pterygium surgery: Comparative study of conjunctival autograft with suture versus fibrin adhesive cirugia del ptergion. Arch Soc Esp Oftalmol 84:179–184

    Google Scholar 

  4. Qin X, Chen H, Guo L, Guo Y (2012) Low dose strntium-90 irridation is effective in preventing the recurrence of pterygia: A ten-year study. PLoS One 7(8):e43500

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  5. Gulani A, Dastur YK (1995) Simultaneous pterygium and cataract surgery. J Postgrad Med 41:8–11

    CAS  PubMed  Google Scholar 

  6. King JH Jr (1950) The pterygium; brief review and evaluation of certain methods of treatment. AMA Arch Ophthalmol 44:854–869

    Article  PubMed  Google Scholar 

  7. Dowlut MS, Laflamme MY (1981) Recurrent pterygia: Frequency and treatment by conjunctival autograft. Can J Ophthalmol 16:119–120

    CAS  PubMed  Google Scholar 

  8. Chen YT, Tseng SH, Tsai YY, Huang FC, Tseng SY (2009) Distribution of vimentin-expressing cells in pterygium: An immunocytochemical study of impression cytology specimens. Cornea 28(5):547–552

    Article  CAS  PubMed  Google Scholar 

  9. Dushku N, Reid TW (1997) P53 Expression in altered limbal basal cells of pingueculae, pterygia, and limbal tumors. Curr Eye Res 16:1179–1192

    Article  CAS  PubMed  Google Scholar 

  10. Menghini M, Watson SL, Bosch MM (2012) Corneal melting two weeks after pterygium excision with topical mitomycin C: successfully treated with lamellar keratoplasty and amnion membrane transplantation. Case Report Ophthalmol 3(1):24–29

    Article  Google Scholar 

  11. Prabhasawat P, Barton K, Burkett G, Tseng SC (1997) Comparison of conjunctival autografts, amniotic membrane grafts, and primary closure for pterygium excision. Ophthalmology 104:974–985

    Article  CAS  PubMed  Google Scholar 

  12. Alaniz Cancino F (1982) The use of beta irradiation in the treatment of pterygia. Ophthalmic Surg 13:1022–1025

    Google Scholar 

  13. Chen PP, Ariyasu RG, Kaza V, LaBree LD, McDonnell PJ (1995) A randomized trial comparing mitomycin C and conjunctival autograft after excision of primary pterygium. Am J Ophthalmol 120:151–160

    CAS  PubMed  Google Scholar 

  14. Cardillo JA, Alves MR, Ambrosio LE, Poterio MB, Jose NK (1995) Single intraoperative application versus postoperative mitomycin C eye drops in pterygium surgery. Ophthalmology 102:1949–1952

    Article  CAS  PubMed  Google Scholar 

  15. Helal M, Messiha N, Amayem A, el-Maghraby A, Elsherif Z, Dabees M (1996) Intraoperative mitomycin-C versus postoperative topical mitomycin-C drops for the treatment of pterygium. Ophthalmic Surg Lasers 27:674–678

    CAS  PubMed  Google Scholar 

  16. Tekin NF, Kaynak S, Saatci AO, Cingil G (2001) Preserved human amniotic membrane transplantation in the treatment of primary pterygium. Ophthalmic Surg Lasers 32:464–469

    CAS  PubMed  Google Scholar 

  17. Kenyon KR, Wagoner MD, Hettinger ME (1985) Conjunctival autograft transplantation for advanced and recurrent pterygium. Ophthalmology 92:1461–1470

    Article  CAS  PubMed  Google Scholar 

  18. Ma DH, See LC, Liau SB, Tsai RJ (2000) Amniotic membrane graft for primary pterygium: comparison with conjunctival autograft and topical mitomycin C treatment. Br J Ophthalmol 84:973–978

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  19. Ozkurt BY, Kocamis O, Comez A, Uslu B, Dogan OK (2009) Treatment of primary pterygium. Optom Vis Sci 86:1

    Article  Google Scholar 

  20. Arvas S, Ozturk M, Toparlak T, Yolar M, Yetik H, Ozkan CS (2002) Pterjiyumlu olgularda ultrastrukturel degerlendirme. T Oft Gaz 32:88–93

    Google Scholar 

  21. Koc F, Demirbay P, Teke MY, Firat E (2002) Primer ve rekurren pterjiyumda konjonktival otogreftleme. T Oft Gaz 32:583–588

    Google Scholar 

  22. Ti SE, Chee SP, Dear KB, Tan DT (2000) Analysis of variation in success rates in conjunctival autografting for primary and recurrent pterygium. Br J Ophthalmol 84:385–389

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  23. Dadeya S, Malik KP, Gullian BP (2002) Pterygium surgery: conjunctival rotation autograft versus conjunctival autograft. Ophthalmic Surg Lasers 33:269–274

    PubMed  Google Scholar 

  24. Ozcan AA, Ersoz TR, Yagmur M, Oksuz H (2003) Nuks pterjiumda cerrahisi; konjonktiva ve amniotik membran transplantasyonu. MN Oftalmoloji 10:50–53

    Google Scholar 

  25. Unal M, Durmus M, Biryilmaz A (1999) Primer ve rekurren pterjium cerrahisinde limbal konjonktival otogreft uygulamasi. T Klin Oftalmol 8:37–42

    Google Scholar 

  26. Elmas K, Katircioglu Y, Aslan B, Duman S (2002) Primer pterjiyum rezeksiyonunda amniyon grefti, konjonktival otogreft ve primer kapama tekniklerinin karsilastirilmasi. T Oft Gaz 32:337–342

    Google Scholar 

  27. Kucukerdonmez C, Akova YA, Altinors DD (2007) Comparison of conjunctival autograft with amniotic membrane transplantation for pterygium surgery: Surgical and cosmetic outcome. Cornea 26:407–413

    Article  PubMed  Google Scholar 

  28. Nakasato H, Uemoto R, Mizuki N (2012) Treatment of preygium by ligation and bevacizumab injection. Cornea 30(11):1219–1222

    Google Scholar 

  29. Shahin MM, Elbendary AM, Elwan MM (2012) Intraoperative subconjunctival bevacizumab as an adjunctive treatment in primary pterygium: a preliminary report. Ophthalmic Surg Lasers Imaging 43(6):459–466

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Ophthalmology, Ahi Evran University, Research and Training Hospital, Kirsehir, Turkey

    O. Kocamis

  2. Department of Ophthalmology, Ahi Evran University, Research and Training Hospital, Kirsehir, Turkey

    M. Bilgec

Authors
  1. O. Kocamis
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. Bilgec
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to O. Kocamis.

Additional information

The study was a part of our routine work in Ahi Evran University Research and Teaching Hospital, Ophthalmology Department, Kirsehir, Turkey.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kocamis, O., Bilgec, M. Evaluation of the recurrence rate for pterygium treated with conjunctival autograft. Graefes Arch Clin Exp Ophthalmol 252, 817–820 (2014). https://doi.org/10.1007/s00417-014-2581-y

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00417-014-2581-y

Keywords

Search

Navigation