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Comparison of two surgical treatment methods in extensive pterygium

Poster Details

First Author: M.Zemba ROMANIA

Co Author(s):    A. Stamate   C. Avram   V. Enache   S. Oprea   D. Ivascu        

Abstract Details

Purpose:

To evaluate the efficiency and safety of two surgical treatment methods in extensive pterygium.

Setting:

Central Military Emergency University Hospital “Dr. Carol Davila”, Bucharest, Romania

Methods:

This was a prospective study. 48 patients divided in two groups (group 1 and group 2) who were operated during January 2009- December 2013 were included. Group 1 included 24 patients who underwent pterygium excision and conjunctival autografting and group 2 included 24 patients who underwent pterygium excision, conjunctival autografting and amniotic membrane transplantation. The minimal follow-up period was of 6 months, with a range period between 6 and 24 months. The main parameters analysed were recurrence, type and incidence of complications.

Results:

Recurrence appeared in 2 cases in group 1 (8.3 %) and in 2 cases in group 2 (8.3 %). Complications included: in group 1: graft sideslip - 2 cases, corneal perilimbal ulcer - 2 cases and conjunctival suture dehiscence -1 case (20.8 %) and in group 2: conjunctival wound dehiscence -1 case (4.1 %).

Conclusions:

Amniotic membrane transplantation reduced the number of postoperative complications after the excision of extensive pterygium.

Financial Disclosure:

NONE

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