INFERIOR LIMBAL CONJUNCTIVAL AUTOGRAFTING IN PRIMARY PTERYGIUM.

  • Ophthalmology department, Faculty of medicine, Benghazi University Benghazi, Libya.
  • The Martyr Sohil Alatrash Eye Hospital , ophthalmology department Faculty of medicine , Benghazi University Benghazi ,Libya.
Crossref Cited-by Linking logo

  • Abstract
  • Keywords
  • References
  • How to Cite This Article
  • Corresponding Author

Aim: The aim of the study was to evaluate the outcome of pterygium surgical management with inferior temporal conjunctivo-limbal auto graft for the treatment of primary pterygium. Method :This prospective study included 9 eyes of 9 patients with primary pterygium treated by means of pterygium excision with conjunctivo-limbal auto graft from the lower bulbar conjunctiva in Al Haram private Hospital in Benghazi, Libya . Patients were examined on the first day, the first week and the second week and after 3 months. Outcomes were evaluated in terms of complications and recurrence. Results: During the 3 months of follow-up, few postoperative complications occurred and recurrence occurred in only one (11.1%) eye during the follow-up period. Conclusion: inferior bulbar conjunctivo-limbal auto graft or the management of primary pterygium has a low recurrence rate, leaving the superior conjunctiva available for glaucoma surgery if needed further.

  1. Coroneo MT, Muller-Stolzenburg NW, Ho A. Peripheral light focusing by the anterior eye and the ophthalmohelioses. Ophthalmic Surg. 1991;22(12):705-711.
  2. Coroneo MT. Pterygium as an early indicator of ultraviolet insolation: a hypothesis. Br J Ophthalmol.1993;77(11):734-739.
  3. Coster D. Pterygium?an ophthalmic enigma. Br J Ophtha lmol. 1995;79(4):304-305.
  4. Doleza lova V. Is the occurrence of a temporal pterygium really so rare? Ophtha lmologica . 1977;174(2):88-91.
  5. John A. Hovanesian. Pterygium techniques and technologies for surgical success.2012;1-3.
  6. Jaros PA , Deluise VP . Pingueculae and pterygium.Surv Ophthalmol 1988;33:41-49
  7. Starck T,Kenyon KR, Serrano F. Conjunctival autograft for primary and recurrent pterygium : surgical technique and problem management. Cornea 1991;10:196-202
  8. Maheshwari S. Pterygium induced corneal refractive changes. Indian J Ophthalmol 2007;55:383-386
  9. Farouk M. Othman. Inferior limbal conjunctival autografting in primary pterygium . Journal Of Egyptian Ophthalmological Society 2015,108:43-46
  10. Hiroki Kawano, Koji Kawano, and Taiji Sakamot. Separate limbal-conjunctival autograft transplantation using the inferior conjunctiva for primary pterygium.Oman J Ophthalmol. 2011 Sep-Dec; 4(3): 120?124.
  11. Shrestha A, Bhandari S, Maharjan N, Khadka D.pant SR,pant BP. Inferior conjunctival autografting for pterygium surgery : an alternative way of preserving the glaucoma filtration site in far western Nepal . clin ophthlmo 2012 ; 6:315-9
  12. Bor'i*, M. A Elmarakby, M.Saleh ,Marwa Khair. Superior versus Inferior Conjunctival Autograft Using Fibrin Glue in Management of Primary Pterygium: Clinical and Histopathological Results. J Clin Exp Ophthalmol 2016, 7:4.
  13. Wong A K, Rao S K, Leung A T, Poon A S, Lam D S. Inferior limbal-conjunctival autograft transplantation for recurrent pterygium. Indian J Ophthalmol 2016 Dec 18];48:21
  14. Nazzulah ,Shah A , Mustaque A, Abdul B , Khan MS, Nasir S, Recurrence rate of pterygium :a comparison of bare sclera and free conjunctival autograft . J Med Sci 2010 ;18:36-39
  15. Syam PP , Eleftheriadis H , Liu CS. Inferior conjunctival autograft for primary pterygia Opthalmology 2003;110:806-10
  16. Yeung, Sonia, Kim Peter , Elbaz, Amiran, Maoz D, Allan R. Superior Versus Inferior Conjunctival Autografts Combined With Fibrin Glue in the Management of Primary Pterygia.Cornea Dec 2013 ;32 ( 12): 1582?1586.
  17. Fernandes M, Sangwan VS, Bansal AK ,Gangopadhyay N, Sridhar MS . Garg P. et al. outcome of pterygium surgery : analysis over 14 years. Eye (Lond) 2005;19:1182-90
  18. Tananuvat N , Martin T . the results of amniotic membrane transplantation for primary pterygium compared with conjunctival autograft . cornea 2004; 23:458-63.

Hammad K Elzarrug, Adam M Elbarghathi, Marei A O Eltuboli, Ruwida M.S Abdullah. (2017); INFERIOR LIMBAL CONJUNCTIVAL AUTOGRAFTING IN PRIMARY PTERYGIUM., Int. J. of Adv. Res., 5 (10), 319-322, ISSN 2320-5407. DOI URL: https://dx.doi.org/10.21474/IJAR01/5535

Hammad K Elzarrug1
Lecturer of Ophthalmology department, Faculty of medicine, Benghazi University Benghazi, Libya

DOI:

Article DOI: 10.21474/IJAR01/5535      
DOI URL: https://dx.doi.org/10.21474/IJAR01/5535

Download Full Paper

Download PDF No. of Downloads: 9 | No. of Views: 98