Inferior conjunctival autografting for pterygium surgery: an alternative way of preserving the glaucoma filtration site in far western Nepal

Arjun Shrestha1, Anand Shrestha2, Sujata Bhandari1, Nhukesh Maharjan3, Deepak Khadka1, Suresh Raj Pant1, Bidya Prasad Pant11Geta Eye Hospital, Dhangadhi, 2Tribhuvan University Teaching Hospital, Kathmandu, 3Tilganga Institute of Ophthalmology, Kathmandu, NepalBackground: The purpose of this study wa...

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Autores principales:	Shrestha A, Bhandari S, Maharjan N, Khadka D, Pant SR, Pant BP
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/85cd5434c3f2477388a2043b953f361f
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spelling	oai:doaj.org-article:85cd5434c3f2477388a2043b953f361f2021-12-02T08:10:00ZInferior conjunctival autografting for pterygium surgery: an alternative way of preserving the glaucoma filtration site in far western Nepal1177-54671177-5483https://doaj.org/article/85cd5434c3f2477388a2043b953f361f2012-03-01T00:00:00Zhttp://www.dovepress.com/inferior-conjunctival-autografting-for-pterygium-surgery-an-alternativ-a9387https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Arjun Shrestha1, Anand Shrestha2, Sujata Bhandari1, Nhukesh Maharjan3, Deepak Khadka1, Suresh Raj Pant1, Bidya Prasad Pant11Geta Eye Hospital, Dhangadhi, 2Tribhuvan University Teaching Hospital, Kathmandu, 3Tilganga Institute of Ophthalmology, Kathmandu, NepalBackground: The purpose of this study was to evaluate the outcome of pterygium excision with inferior conjunctival autografting for primary pterygium.Methods: This was a prospective noncomparative interventional case series study enrolling 50 eyes of 50 patients with primary pterygium between November 1, 2010 and October 30, 2011. All patients underwent the standard surgical technique for pterygium excision with inferior conjunctival autografting. The sampling method was purposive. The study variables were complications of surgery and recurrence rates during a follow-up period of 6 months.Results: The mean age of the patients was 43 &plusmn; 7.97 (range 26&ndash;64) years. Grade 1 pterygium comprised 64% while grade 2 pterygium comprised 36% of cases. The mean size of pterygium was 3.2 &plusmn; 0.60 mm. Minor complications did occur, but only 4% required resuturing. Recurrence occurred in two eyes (4%) which we detected 3 months after surgery in both cases. We observed conjunctival scarring at the donor site in four eyes (8%); however, there was no symblepharon formation or restriction of upgaze.Conclusion: Inferior conjunctival autografting is an effective technique with a low recurrence rate. This is a useful technique when it is not possible or desirable to use the superior conjunctiva as a donor source. It is an especially good option for preserving the glaucoma filtration site for the future.Keywords: inferior, conjunctival, autografting, pterygium surgery, recurrenceShrestha AShrestha ABhandari SMaharjan NKhadka DPant SRPant BPDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 315-319 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Shrestha A 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
description	Arjun Shrestha1, Anand Shrestha2, Sujata Bhandari1, Nhukesh Maharjan3, Deepak Khadka1, Suresh Raj Pant1, Bidya Prasad Pant11Geta Eye Hospital, Dhangadhi, 2Tribhuvan University Teaching Hospital, Kathmandu, 3Tilganga Institute of Ophthalmology, Kathmandu, NepalBackground: The purpose of this study was to evaluate the outcome of pterygium excision with inferior conjunctival autografting for primary pterygium.Methods: This was a prospective noncomparative interventional case series study enrolling 50 eyes of 50 patients with primary pterygium between November 1, 2010 and October 30, 2011. All patients underwent the standard surgical technique for pterygium excision with inferior conjunctival autografting. The sampling method was purposive. The study variables were complications of surgery and recurrence rates during a follow-up period of 6 months.Results: The mean age of the patients was 43 &plusmn; 7.97 (range 26&ndash;64) years. Grade 1 pterygium comprised 64% while grade 2 pterygium comprised 36% of cases. The mean size of pterygium was 3.2 &plusmn; 0.60 mm. Minor complications did occur, but only 4% required resuturing. Recurrence occurred in two eyes (4%) which we detected 3 months after surgery in both cases. We observed conjunctival scarring at the donor site in four eyes (8%); however, there was no symblepharon formation or restriction of upgaze.Conclusion: Inferior conjunctival autografting is an effective technique with a low recurrence rate. This is a useful technique when it is not possible or desirable to use the superior conjunctiva as a donor source. It is an especially good option for preserving the glaucoma filtration site for the future.Keywords: inferior, conjunctival, autografting, pterygium surgery, recurrence
format	article
author	Shrestha A Shrestha A Bhandari S Maharjan N Khadka D Pant SR Pant BP
author_facet	Shrestha A Shrestha A Bhandari S Maharjan N Khadka D Pant SR Pant BP
author_sort	Shrestha A
title	Inferior conjunctival autografting for pterygium surgery: an alternative way of preserving the glaucoma filtration site in far western Nepal
title_short	Inferior conjunctival autografting for pterygium surgery: an alternative way of preserving the glaucoma filtration site in far western Nepal
title_full	Inferior conjunctival autografting for pterygium surgery: an alternative way of preserving the glaucoma filtration site in far western Nepal
title_fullStr	Inferior conjunctival autografting for pterygium surgery: an alternative way of preserving the glaucoma filtration site in far western Nepal
title_full_unstemmed	Inferior conjunctival autografting for pterygium surgery: an alternative way of preserving the glaucoma filtration site in far western Nepal
title_sort	inferior conjunctival autografting for pterygium surgery: an alternative way of preserving the glaucoma filtration site in far western nepal
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/85cd5434c3f2477388a2043b953f361f
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Inferior conjunctival autografting for pterygium surgery: an alternative way of preserving the glaucoma filtration site in far western Nepal

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