ESCRS - PO889 - Long-Term Surgical Outcome Of Pterygium Excision And Conjunctival Limbal Autograft: Minimum 11 Years Follow-Up Study In A Country With High Ultraviolet Exposure

Long-Term Surgical Outcome Of Pterygium Excision And Conjunctival Limbal Autograft: Minimum 11 Years Follow-Up Study In A Country With High Ultraviolet Exposure

Published 2024 - 42nd Congress of the ESCRS

Reference: PO889 | Type: Poster | DOI: 10.82333/094w-3w94

Authors: Hisham Jammal* 1 , Rami Al-Omari 2 , Zaki Shannak 3 , Shadi Alkhatib 4 , Hashem Abu Serhan 3

1Ophthalmology,Jordan University of Science and Technology,Irbid,Jordan, 2Ophthalmology,Yarmouk University,Irbid,Jordan, 3Ophthalmology,Hamad Medical Corporation,Doha,Qatar, 4Alroya Eye Center,Irbid,Jordan

Purpose

To assess the long-term surgical outcomes and complications in patients who underwent pterygium excision with conjunctival limbal autograft at least 11 years after surgery in a country with high ultraviolet light exposure.

Setting

A cross-sectional, observational study, at a tertiray referral university hospital.

Methods

This was a long-term follow-up study of 15 patients with primary or recurrent pterygium who underwent surgery at King Abdullah University Hospital, Jordan, between June 2005 and June 2012. Recruited patients completed a questionnaire regarding their satisfaction with the results, use of protective sunglasses, and daily sunlight exposure over the long-term period after surgery and were examined for pterygium recurrence and graft bed cosmesis.

Results

The mean age (SD) of the patients at the follow-up was 50 (8.8) years (range: 34–66 years), and the mean (SD) follow-up duration was 13.1 (1.5) years (range: 11–16 years). Eleven out of the 15 patients reported being completely satisfied with the outcome of the surgery (mean score of 9.7 out of 10, SD: 1.0, range: 7–10). Seven patients reported daily sunlight exposure of more than three hours, and most of them were not regular users of protective sunglasses. There was one case of recurrence (6.7%) and one case of symblepharon at the harvested graft site. 

Conclusions

The long-term follow-up, pterygium excision with conjunctival limbal autograft was found to be safe and effective in a country with high ultraviolet exposure.