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N. S. Georgiadis, K. G. Boboridis, V. Toumanidou, I. Georgiadou, D. G. Mikropoulos; Surgical Management of Primary Pterygium With a Modified Rotating Conjunctival Autograft From the Excised Pterygium Body. Invest. Ophthalmol. Vis. Sci. 2010;51(13):1916.
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© ARVO (1962-2015); The Authors (2016-present)
To present our surgical results from a modified technique of pterygium repair with the use of rotating conjunctival autograph from the excised pterygium body.
A retrospective review of surgical records was performed to identify patients operated with the modified technique in our department over a 2 year period (2006-2008).Excision of the pterygium under local anesthesia was followed by covering of the defect with a 90 degree rotating conjunctival autograph from the excised pterygium body after removal of the pterygium head and secured with 8.0 vicryl sutures. A bandage contact lens was placed and steroid with antibiotic eye drops prescribed for 3 weeks. Outcome measures were recurrence rate, conjunctival erythema and possible complications over the minimum follow up period of 12 months.
Seventeen patients with primary pterygium were managed with our modified technique. Healed conjunctival surface with no signs of recurrence was established in 14 (82,3%) patients. Minimal graft invasion over the limbus and persistent conjunctival erythema was observed in 2 (11,7%) cases.. Wound dehiscence at the fourth postoperative day and secondary intention healing lead to early recurrence in 1 (5,8%)case. Mild persistent erythema of the grafted conjunctiva for mean period of 11 weeks was recorded. No other complications were noted.
Our modified surgical management of pterygium offers the advantages of a conjunctival autograph avoiding the additional surgical site for harvesting the graph. It appears to have a high success rate with minimal complications. Persistent postoperative erythema may undermine the success of the procedure.
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