Pterygium Surgery Utilizing Limbal Conjunctival Autograft and Subconjunctival Amniotic Membrane Graft in High-Risk Populations

Alexander Shusko,1 Barry A Schechter,2 John A Hovanesian3 1Nassau University Medical Center, Department of Ophthalmology, East Meadow, NY 11554, USA; 2Florida Eye Microsurgical Institute, Boynton Beach, FL 33426, USA; 3Harvard Eye Associates, Laguna Hills, CA 92653, USACorrespondence: Alexander Shus...

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Autores principales:	Shusko A, Schechter BA, Hovanesian JA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	pterygium autograft amniotic graft technique recurrence cornea Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/00b04bf0d6a84e4e86ddd7f9ce87c3ad
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spelling	oai:doaj.org-article:00b04bf0d6a84e4e86ddd7f9ce87c3ad2021-12-02T10:10:16ZPterygium Surgery Utilizing Limbal Conjunctival Autograft and Subconjunctival Amniotic Membrane Graft in High-Risk Populations1177-5483https://doaj.org/article/00b04bf0d6a84e4e86ddd7f9ce87c3ad2020-07-01T00:00:00Zhttps://www.dovepress.com/pterygium-surgery-utilizing-limbal-conjunctival-autograft-and-subconju-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Alexander Shusko,1 Barry A Schechter,2 John A Hovanesian3 1Nassau University Medical Center, Department of Ophthalmology, East Meadow, NY 11554, USA; 2Florida Eye Microsurgical Institute, Boynton Beach, FL 33426, USA; 3Harvard Eye Associates, Laguna Hills, CA 92653, USACorrespondence: Alexander ShuskoNassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554, USATel +1 949-246-1737Email ashusko@gmail.comObjective: To measure the outcomes of primary pterygium excision with a limbal conjunctival autograft when combined with the adjunctive use of a prophylactic subconjunctival graft of amniotic membrane to decrease the recurrence rate after surgery in an ethnically diverse population with a statistically higher risk for recurrence (African American, Asian, Caribbean, Asian, Latin).Design: This is a retrospective, non-comparative study of post-operative outcomes.Participants: A total of 355 patients, totaling 493 eyes, with clinically significant, primary pterygia.Patients and Methods: Patients were enrolled into the study based on the need for pterygium surgery and if they underwent primary pterygium excision with conjunctival autograft with subconjunctival amniotic membrane placement. Patients with recurrent pterygium or those with pseudopterygium were excluded from this study. All surgeries took place at the Florida Eye Microsurgical Institute (Boynton Beach, FL) between June 2006 and October 2013 by a single surgeon (BAS). Patients were seen on post-operative day 1, 7, 30, 90, 180 and 365 to evaluate for pterygium recurrence. Pterygium recurrence is defined in this study as growth greater than 1 mm past the corneal limbus at or after 6 months.Results: There were six cases of recurrent pterygium for a recurrence rate of 1.22% ± 0.97% (n=493, p=0.05). Follow-up ranged from 6 months to 6 years (mean 28 months).Conclusion: Primary pterygium excision with a limbal conjunctival autograft and placement of a subconjunctival amniotic membrane graft has a low recurrence rate consistent with previously published data.Keywords: pterygium, autograft, amniotic graft, technique, recurrence, corneaShusko ASchechter BAHovanesian JADove Medical Pressarticlepterygiumautograftamniotic grafttechniquerecurrencecorneaOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 2087-2090 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	pterygium autograft amniotic graft technique recurrence cornea Ophthalmology RE1-994
spellingShingle	pterygium autograft amniotic graft technique recurrence cornea Ophthalmology RE1-994 Shusko A Schechter BA Hovanesian JA Pterygium Surgery Utilizing Limbal Conjunctival Autograft and Subconjunctival Amniotic Membrane Graft in High-Risk Populations
description	Alexander Shusko,1 Barry A Schechter,2 John A Hovanesian3 1Nassau University Medical Center, Department of Ophthalmology, East Meadow, NY 11554, USA; 2Florida Eye Microsurgical Institute, Boynton Beach, FL 33426, USA; 3Harvard Eye Associates, Laguna Hills, CA 92653, USACorrespondence: Alexander ShuskoNassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554, USATel +1 949-246-1737Email ashusko@gmail.comObjective: To measure the outcomes of primary pterygium excision with a limbal conjunctival autograft when combined with the adjunctive use of a prophylactic subconjunctival graft of amniotic membrane to decrease the recurrence rate after surgery in an ethnically diverse population with a statistically higher risk for recurrence (African American, Asian, Caribbean, Asian, Latin).Design: This is a retrospective, non-comparative study of post-operative outcomes.Participants: A total of 355 patients, totaling 493 eyes, with clinically significant, primary pterygia.Patients and Methods: Patients were enrolled into the study based on the need for pterygium surgery and if they underwent primary pterygium excision with conjunctival autograft with subconjunctival amniotic membrane placement. Patients with recurrent pterygium or those with pseudopterygium were excluded from this study. All surgeries took place at the Florida Eye Microsurgical Institute (Boynton Beach, FL) between June 2006 and October 2013 by a single surgeon (BAS). Patients were seen on post-operative day 1, 7, 30, 90, 180 and 365 to evaluate for pterygium recurrence. Pterygium recurrence is defined in this study as growth greater than 1 mm past the corneal limbus at or after 6 months.Results: There were six cases of recurrent pterygium for a recurrence rate of 1.22% ± 0.97% (n=493, p=0.05). Follow-up ranged from 6 months to 6 years (mean 28 months).Conclusion: Primary pterygium excision with a limbal conjunctival autograft and placement of a subconjunctival amniotic membrane graft has a low recurrence rate consistent with previously published data.Keywords: pterygium, autograft, amniotic graft, technique, recurrence, cornea
format	article
author	Shusko A Schechter BA Hovanesian JA
author_facet	Shusko A Schechter BA Hovanesian JA
author_sort	Shusko A
title	Pterygium Surgery Utilizing Limbal Conjunctival Autograft and Subconjunctival Amniotic Membrane Graft in High-Risk Populations
title_short	Pterygium Surgery Utilizing Limbal Conjunctival Autograft and Subconjunctival Amniotic Membrane Graft in High-Risk Populations
title_full	Pterygium Surgery Utilizing Limbal Conjunctival Autograft and Subconjunctival Amniotic Membrane Graft in High-Risk Populations
title_fullStr	Pterygium Surgery Utilizing Limbal Conjunctival Autograft and Subconjunctival Amniotic Membrane Graft in High-Risk Populations
title_full_unstemmed	Pterygium Surgery Utilizing Limbal Conjunctival Autograft and Subconjunctival Amniotic Membrane Graft in High-Risk Populations
title_sort	pterygium surgery utilizing limbal conjunctival autograft and subconjunctival amniotic membrane graft in high-risk populations
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/00b04bf0d6a84e4e86ddd7f9ce87c3ad
work_keys_str_mv	AT shuskoa pterygiumsurgeryutilizinglimbalconjunctivalautograftandsubconjunctivalamnioticmembranegraftinhighriskpopulations AT schechterba pterygiumsurgeryutilizinglimbalconjunctivalautograftandsubconjunctivalamnioticmembranegraftinhighriskpopulations AT hovanesianja pterygiumsurgeryutilizinglimbalconjunctivalautograftandsubconjunctivalamnioticmembranegraftinhighriskpopulations
_version_	1718397570367094784

Pterygium Surgery Utilizing Limbal Conjunctival Autograft and Subconjunctival Amniotic Membrane Graft in High-Risk Populations

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