You are here

Home » Content

Primer Pterjiyum Cerrahisinde Çıplak Sklera ve Konjonktival Otogreftleme Yönteminin Karşılaştırılması

The Comparison of Bare Sclera with Conjunctival Autografting Technique in Primary Pterygium Surgery

Journal Name:

  • Fırat Tıp Dergisi

Publication Year:

  • 2011

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Purpose: To compare the safety and efficiency of bare sclera with conjunctival autografting technique in primary pterygium surgery. Material and Method: Forty eyes of 32 cases with primary pterygium who applied to our clinic between October 2008 and March 2010 were included in this study. Group 1 included 26 eyes of 22 cases underwent bare sclera technique. Group 2 was composed of 14 eyes of 10 cases treated with conjunctival autograft transplantation technique. All patients were followed-up at least 6 months for complications and recurrences. Results: Scleral thinning was found in three eyes (11.5%) and pterygium recurred in five eyes (19.2%) in group 1. A recurrence in one eye (7.1%) and a loosening of suture in two eyes (14.28%) occured in group 2. When the data obtained were compared statistically, the rate of recurrences in group 2 was found to be less than group 1 (p<0.005). Conclusion: We concluded that conjunctival autografting technique is more effective and safer than bare sclera in primary pterygium surgery.
Bookmark/Search this post with
Abstract (Original Language): 
Amaç: Primer pterjiyum cerrahi tedavisinde çıplak sklera ve konjonktival otogreft nakli yönteminin etkinlik ve güvenilirliğinin karşılaştırılması. Gereç ve Yöntem: Ekim 2008-Mart 2010 tarihleri arasında kliniğimize başvuran primer pterjiyumlu 32 hastanın 40 gözü çalışmaya alındı. Birinci gruptaki 22 hastanın 26 gözüne çıplak sklera, ikinci gruptaki 10 hastanın 14 gözüne ise konjonktival otogreft nakli uygulandı. Hastalar nüks gelişimi ve komplikasyon açısından en az 6 ay süreyle izlendi. Bulgular: Birinci grupta 3 gözde (%11.5) skleral incelme, 5 gözde (%19.2) nüks gelişti. İkinci grupta bir gözde (%7.1) nüks ve 2 gözde (%14.28) greft sütürlerinde açılma meydana geldi. Bulgular istatistiksel olarak karşılaştırıldığında otogreft uygulanan grupta nüks sıklığının anlamlı olarak daha az olduğu saptandı (p<0.005). Sonuç: Primer pterjiyum cerrahisinde konjonktival otogreft nakli yöntemi çıplak sklera uygulamasına göre daha etkin ve daha güvenilir olduğu sonucuna varıldı.
FULL TEXT (PDF): 
PDF icon arastirmax-primer-pterjiyum-cerrahisinde-ciplak-sklera-konjonktival-otogreftleme-yonteminin-karsilastirilmasi.pdf
  • 3
129-131
  • Turkish

REFERENCES

References: 

1. Coroneo MT. Pterygium as an indicator of ultraviolet insulation: a hypothesis. Br J Ophthalmol 1993; 77: 734-739.
2.
Yaşa
r T, Özdemir M, İlhan B, Demirok A. Pterjiyum cerrahisinde çıplak sklera ve mitomisin-C uygulaması ile konjonktival otogreftleme yönteminin karşılaştırılması. MN Oftalmoloji 2002; 3: 298-300.
3. Budak K, Khater TT, Friedman NJ, Koch DD. Corneal
topographic changes induced by excision of perilimbal lesions. Ophthalmic Surg Lasers 1999; 30: 458-464.
4. Akova Y. Pterjiyum. 27. Ulusal Oftalmoloji Kursu Kitabı,
Ankara, 2007; 333-341.
5. Kanski JJ. Clinical Ophthalmology. Sixth ed. Londom:
Butterword-Heinemann, 2006; 242-243.
6. Ombrain A. The surgical treatment of pterygium. Br J
Ophthalmol 1948; 32: 65.
7. Sugar A. Who should receive mitomycin-C after pterygium
surgery? Ophthalmology 1992; 99: 1645-1646.
8. Frucht-Pery J, Ilsar M. The use of low-dose mitomycin C for prevention of recurrent pterygium. Ophthalmology 1994; 101:
759-762.
9. Moriarty AP, Crawford GJ, McAllister IL, Constable IJ. Severe intraocular infection: complications of beta irradiation induced scleral necrosis following pterygium removal. Br J
Ophthalmol 1992; 76: 307-309.
10. Cheng HC, Tseng SH, Kao PL, Chen FK. Low-dose
intraoperative mitomycin C as chemoadjuvant for pterygium
surgery. Cornea 2001; 20: 24-29.
11. Manning CA, Kloess PM, Diaz MD, Yee RW. Intraoperative mitomycin in primary pterygium excision. A prospective,
randomized trial. Ophthalmology 1997; 104: 844-848.
12. Can İ, Barlas AÇ, Konkuralp Y, Kural G. Pterjium cerrahi tedavisinde superior konjonktival flep kaydırma ve intraoperatif tek doz mitomisin-C tekniklerinin karşılaştırılma¬sı. T Klin Oftalmoloji 1996; 5: 123-127.
13. Alsagoff Z, Tan DT, Chee SP. Necrotising scleritis after bare sclera excision of pterygium. Br J Ophthalmol 2000; 84: 1050¬1052.
14. Kassir MS. Corneal perforation after excision of pterygium and use of 0.02% mitomycin eyedrops. J Fr Ophtalmol 1999;
22: 776-779.
15. Nieuwendaal CP, van der Meulen IJ, Mourits M, Lapid-Gortzak R. Long-term follow-up of pterygium surgery using a conjunctival autograft and Tissucol. Cornea 2011; 30: 34-36.
16. Kenyon KR, Wagoner MD, Hettinger ME. Conjunctival autograft transplantation for advanced and recurrent pterygium. Ophthalmology 1985; 92: 1461-1470.
17. Ma DH, See LC, Liau SB, Tsai RJ. Amniotic membrane graft for primary pterygium: comparison with conjunctival autograft and topical mitomycin C treatment. Br J Ophthalmol 2000; 84:
973-978.
18. Sharma A, Gupta A, Ram J, Gupta A. Low-dose intraoperative mitomycin-C versus conjunctival autograft in primary pterygium surgery: long term follow-up. Ophthalmic Surg Lasers 2000; 31: 301-307.
19. Koranyi G, Artzen D, Seregard S, Kopp ED. Intraoperative mitomycin C versus autologous conjunctival autograft in surgery of primary pterygium with four-year follow-up. Acta Ophthalmol. 2010 May 28. doi: 10.1111/j.1755-
3768.2010.01936.
20. Lawallen S. A randomized trial of conjunctival autografting for pterygium in the tropics. Ophthalmology 1989; 96: 1612¬1614.

Thank you for copying data from http://www.arastirmax.com