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Dhyana Velasco, Justin Michael Roman, Linda Rose; Outcomes of Pterygium Extended Removal Followed by Extended Conjunctival Transplant (P.E.R.F.E.C.T. for Pterygium®) in a U.S. Southwest population. Invest. Ophthalmol. Vis. Sci. 2014;55(13):2754.
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To compare recurrence rate, cosmetic outcomes, and complications after primary pterygium excision with the P.E.R.F.E.C.T. for Pterygium® technique versus a conventional excision method with amniotic membrane graft.
A retrospective chart review of 62 patients who had conventional surgery and 140 patients who underwent the P.E.R.F.E.C.T. technique for primary pterygium excision between 2007-2013 by the same surgeon (L.R.). Results are reported for all patients having a minimum of 4 months follow up.
Of 62 patients who had conventional surgery, 40 showed up for at least 4 months of follow up. The recurrence rate was 25%, and cosmesis was highly variable as will be demonstrated photographically. Of 140 patients who underwent the P.E.R.F.E.C.T. procedure, 89 patients with primary pterygium returned for 4 months or more of follow up. None of these patients developed a recurrence, and all showed markedly improved cosmesis.
P.E.R.F.E.C.T. for Pterygium® technique resulted in improved surgical outcomes when considering recurrence rates and cosmetic results over traditional surgery.
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