A comparison of two conjunctival rotation autograft techniques in primary pterygium surgery.

Authors

Remzi Karadag, Thomas Jefferson University; Istanbul Medeniyet University School of MedicineFollow
Neslihan Sevimli, Istanbul Medeniyet University School of Medicine
Seydi Okumus, University of Gaziantep
Isilay Ozsoy, Istanbul Medeniyet University School of Medicine
Huseyin Bayramlar, Istanbul Medeniyet University School of Medicine
Ela Durucu, Dr. Ersin Arslan State Hospital
Umit Aksoy, University of Gaziantep
Christopher J. Rapuano, Thomas Jefferson UniversityFollow

Document Type

Article

Publication Date

11-1-2017

Comments

This article has been peer reviewed. It is the author’s final published version in Arquivos Brasileiros de Oftalmologia

Volume 80, Issue 6, November 2017, Pages 373-377.

The published version is available at DOI: 10.5935/0004-2749.20170091. Copyright © Karadag et al.

Abstract

PURPOSE: To compare the effects of 90° and 180° conjunctival rotational autograft (CRA) techniques used in primary pterygium surgery.

METHODS: Forty-five patients were included in this retrospective study. Visual acuity (VA), corneal topography, and auto-refractometer measurements, as well as detailed biomicroscopic examinations, were performed preoperatively and postoperatively. During surgery, the pterygium tissue was excised then rotated 90° in Group 1 and180° in Group 2, after which it was sutured to the bare sclera. Pterygium recurrence was defined as corneal invasion ≥1 mm.

RESULTS: Group 1 consisted of 21 patients with a mean age of 45.1 ± 11.8 years, while Group 2 comprised 24 patients with a mean age of 47.9 ± 13.8 years. The pterygia in Group 1 were graded as more advanced than those in Group 2. A similar number of recurrences were observed in Group 1 (14.3%) and in Group 2 (16.7%). There was no statistically significant difference in terms of the preoperative and postoperative VA and astigmatism values between the two groups. There was a statistically significant improvement in the postoperative VA and astigmatism values in Group 1 and in the postoperative astigmatism values in Group 2. Although postoperative redness was more common in Group 1, no statistically significant difference was found between the groups.

CONCLUSION: BothCRA techniques can be successful in patients for whom it is desirable to avoid a conjunctival autograft and for patients without high cosmetic expectations.

Recommended Citation

Karadag, Remzi; Sevimli, Neslihan; Okumus, Seydi; Ozsoy, Isilay; Bayramlar, Huseyin; Durucu, Ela; Aksoy, Umit; and Rapuano, Christopher J., "A comparison of two conjunctival rotation autograft techniques in primary pterygium surgery." (2017). Wills Eye Hospital Papers. Paper 80.
https://jdc.jefferson.edu/willsfp/80

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 License.

PubMed ID

29267573