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Oman J Ophthalmol. 2019 Oct 11;12(3):166-170. doi: 10.4103/ojo.OJO_69_2017. eCollection 2019 Sep-Dec.

Long-term analysis of an unconventional way of doing double-head pterygium excision.

Author information

1
Cornea and Refractive Services, The Eye Foundation, Post Graduate Institute of Ophthalmology, Coimbatore, Tamil Nadu, India.
2
Cornea and Refractive Services, The Eye Foundation, Coimbatore, Tamil Nadu, India.
3
The Eye Foundation, Coimbatore, Tamil Nadu, India.

Abstract

AIM:

The aim of the study is to describe an unconventional technique of vertically split conjunctival autograft (CAG) for primary double-head pterygium and its long-term outcome.

MATERIALS AND METHODS:

This was a retrospective, noncomparative, interventional case series of 95 eyes of 95 patients, who underwent vertical, split CAG surgery without maintaining limbus-limbus orientation for primary double-head pterygium from January 2013 to January 2017. All patients were reviewed for recurrence in their follow-up period.

RESULTS:

The mean follow-up was 14.12 ± 9.42 months. The baseline characteristics included 44 males and 51 females, with a mean age of 56.24 ± 10.03 years. The only significant complication was recurrence rate of 2.10% (2 eyes out of 95). The most common secondary outcome was graft edema (36.84%, 35 eyes out of 95), which resolved without any intervention. The other outcomes such as graft retraction (12.63%), Tenon's granuloma (1.05%), and subconjunctival hemorrhage (34.73%) were also recorded.

CONCLUSION:

Unconventional vertical split CAG without maintaining limbus-limbus orientation has convincing results in treating double-head pterygium with lower recurrence rate.

KEYWORDS:

Double-head pterygium; fibrin glue; pterygium recurrence; without limbus–limbus

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