December 2002
Volume 43, Issue 13
Free
ARVO Annual Meeting Abstract  |   December 2002
Pterygium Surgery: Outcomes Using a Free Conjunctival Autograft
Author Affiliations & Notes
  • FC Figueiredo
    Department of Ophthalmology Royal Victoria Infirmary Newcastle upon Tyne United Kingdom
  • SB Kaye
    Department of Ophthalmology Royal Liverpool University Hospital Liverpool United Kingdom
  • WH Lee
    Department of Ophthalmology Royal Victoria Infirmary Newcastle upon Tyne United Kingdom
  • K Gales
    Department of Ophthalmology Royal Victoria Infirmary Newcastle upon Tyne United Kingdom
  • U Mallaiah
    Department of Ophthalmology Royal Victoria Infirmary Newcastle upon Tyne United Kingdom
  • Footnotes
    Commercial Relationships   F.C. Figueiredo, None; S.B. Kaye, None; W.H. Lee, None; K. Gales, None; U. Mallaiah, None.
Investigative Ophthalmology & Visual Science December 2002, Vol.43, 125. doi:
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    • Get Citation

      FC Figueiredo, SB Kaye, WH Lee, K Gales, U Mallaiah; Pterygium Surgery: Outcomes Using a Free Conjunctival Autograft . Invest. Ophthalmol. Vis. Sci. 2002;43(13):125.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Abstract: : Purpose:To determine the recurrence rate, complication rate and the effect on visual acuity, refraction and corneal topography after pterygium excision with conjunctival autograft. Methods:Retrospective case record review of 35 consecutive patients (38 eyes) who had undergone pterygium excision with a free conjunctival autograft. Group A (14 eyes), grade 1 pterygium extending up to one quarter the diameter of the cornea and Group B (24 eyes), grade 2 pterygium extending greater than one quarter. Results:The Majority of the patients were male (3:1) and young, mean 57.59 years old (range 35-90). Of the 38 eyes, 32 were primary pterygia while 6 were recurrent pterygia. Mean follow up was 9.21 months in group A and 9.41 months in group B. The recurrence rate was 0% in both groups and there were no complications in either group. In group A, there was no change in the best-corrected visual acuity. In group B, the best corrected visual acuity improved by a mean of 1.3 lines (range 0-3 lines). In group A, there was no significant change in the postoperative refraction (P= 0.35) and corneal topography. In group B, there was a significant difference between the mean preoperative (+1.98/+1.85x90) and postoperative (+0.47/+0.21x124) refractive power (P<0.001). Conclusion:Pterygium excision with a free conjunctival autograft is effective in reducing recurrence and postoperative complication. It is also effective in decreasing corneal astigmatism in advanced pterygium.

Keywords: 532 Pterygium • 369 cornea: clinical science 
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