PTERYGIUM AND POST-OPERATIVE RECURRENCE
Published 2024 - 28th ESCRS Winter Meeting
Reference: P144 | Type: Presented Poster & Poster | DOI: 10.82333/pypg-pq82
Authors: Meriem El Alami* 1 , chaimae baqadir 1 , oumkeltoum jrondi 1 , achraf slimane 1 , zyad laftimi 1 , ghizlane daghouj 1 , loubna el maaloum 1 , bouchra allali 1 , asmaa el kettani 1
1OPHTHALMOLOGY,20TH AUGUST HOSPITAL ,CASABLANCA ,Morocco
Purpose
The pterygium is a connective-elastic neoformation characterized by its progressive and invasive nature becoming unsightly for the patient but also impacting his visual acuity. Surgery is the only radical treatment and recurrence is the fear no matter no matter which technique is used.
Setting
This is a prospective study involving 162 patients (203 eyes) retained from pterygium between 2021 and 2023 at our ophthalmology department.
The patients' eyes were divided into two groups according to the progressive profile.
- G1: 63 patients with recurrence
- G2: 99 patients without recurrence
Methods
Several factors favoring recurrence have been determined: sex, age, quality of the dam, intensity of inflammation, surgical technique.
Results
According to several studies, age is an important factor in the occurrence of recurrences. Likewise, it has been found that patients aged over 50 have a significantly lower risk of recurrence. Indeed, senile lipoid degeneration would inhibit the reappearance of pterygium. Other studies suggest that younger age coupled with higher grade of pterygium, but also a history of multiple recurrences leads to an increased susceptibility of recurrences after surgical excision.
Conclusion
The occurrence of recurrence of pterygium postoperatively indicates the failure of this surgery. This requires knowledge of predictive factors of recurrence for the accountability of both the patient and the surgeon in the evolution of the postoperative prognosis.