Can pterygium excision with mitomycin C leaving bare sclera be salvaged?
| Autor: | Vassallo, James, Pirotta, Suzanne T., Sciriha, Gabriella M., De Bono Agius, Maria, Vella, Maria |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
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| Popis: | Purpose The aim of this study was to analyze the recurrence rate of pterygium following excision with intra-operative mitomycin C (MMC) and post-operative scraping of the perilimbal conjunctival defect, and the patients’ satisfaction with this technique. Methods This is a retrospective analysis of a cohort of 33 eyes of 28 patients with primary or recurrent pterygium who underwent simple excision with MMC. They were followed up after a mean of 27.8 months. The main outcomes considered were the recurrence rate and patient satisfaction. A recurrence was defined as any regrowth of conjunctiva over the limbus and any complications were considered significant. The patients were interviewed with a standard questionnaire and examined. Results An objective recurrence was noted in 55% (18 out of 33 eyes). The recurrence rate after excision of primary pterygia was 46% (13 out of 28 eyes), and for recurrent pterygia it was 80% (four out of five eyes). In this study the complications included: six eyes that developed a granuloma, one case of bleeding which persisted for three days post-op, and one eye in which there was a suspected scleral melt at five weeks. 79% of the procedures resulted in a good patient satisfaction (26 out of 33 eyes), and only in 15% (five eyes) was there a subjective recurrence. Conclusions This technique in our study resulted in an unacceptably high recurrence rate, especially in the case of recurrent pterygia. However patients still tended to be satisfied with the outcome. peer-reviewed |
| Databáze: | OpenAIRE |
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