Cosmetic Pterygium Surgery: Techniques and Long-Term Outcomes

Arun C Gulani, Aaishwariya A Gulani Gulani Vision Institute, Jacksonville, FL, USACorrespondence: Arun C GulaniGulani Vision Institute, 8075 Gate Parkway West Suite 102, Jacksonville, FL 32216, USATel +1 904 296 7393Fax +1888 650-0744Email gulanivision@gulani.comBackground: To demonstrate the long-t...

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Autores principales:	Gulani AC, Gulani AA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	amniotic membrane mitomycin c pterygium Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/a8b8ac40c99d45afa6f45f79abc39fb9
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spelling	oai:doaj.org-article:a8b8ac40c99d45afa6f45f79abc39fb92021-12-02T09:33:37ZCosmetic Pterygium Surgery: Techniques and Long-Term Outcomes1177-5483https://doaj.org/article/a8b8ac40c99d45afa6f45f79abc39fb92020-06-01T00:00:00Zhttps://www.dovepress.com/cosmetic-pterygium-surgery-techniques-and-long-term-outcomes-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Arun C Gulani, Aaishwariya A Gulani Gulani Vision Institute, Jacksonville, FL, USACorrespondence: Arun C GulaniGulani Vision Institute, 8075 Gate Parkway West Suite 102, Jacksonville, FL 32216, USATel +1 904 296 7393Fax +1888 650-0744Email gulanivision@gulani.comBackground: To demonstrate the long-term results of enhanced cosmetic pterygium surgery with extensive Tenonectomy, adjunctive fibrin-glued amniotic membrane transplantation (AMT), and mitomycin C (MMC).Methods: Retrospective chart review of patients who had pterygium surgery with AMT and MMC between January 2001 to July 2017 and had completed at least 6 months of follow-up. Early and long-term postoperative cosmetic outcomes, recurrence rate, and complications were analyzed. Cosmetic outcomes were evaluated based on patient and surgeon reported outcome measures.Results: The study was conducted on a total of 603 eyes of 578 patients (316 males, 262 females) with an average age of 52.9 ± 15.1 years. At post-op day 1, patients reported no discomfort and could not tell which eye had surgery based on patient reported subjective grading scales. Over an average follow-up period of 23.1 ± 35 months (range: 6– 216 months), there was one pterygium recurrence (0.2%), eighteen granulomas (2.9%), one self-resolving scleral melt (0.2%), one correctable restricted ocular motility (0.2%), one pupil abnormality (0.2%), one dellen (0.2%) and one correctable upper lid abnormality (0.2%). Planned laser vision correction was used for residual corneal scar in eleven eyes (1.8%) as a staged refractive approach.Conclusion: This study highlights an improved technique of an old concept of pterygium surgery that not only reduces the recurrence but also enhances cosmetic excellence and improves the quality of vision.Keywords: amniotic membrane, mitomycin C, pterygiumGulani ACGulani AADove Medical Pressarticleamniotic membranemitomycin cpterygiumOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 1681-1687 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	amniotic membrane mitomycin c pterygium Ophthalmology RE1-994
spellingShingle	amniotic membrane mitomycin c pterygium Ophthalmology RE1-994 Gulani AC Gulani AA Cosmetic Pterygium Surgery: Techniques and Long-Term Outcomes
description	Arun C Gulani, Aaishwariya A Gulani Gulani Vision Institute, Jacksonville, FL, USACorrespondence: Arun C GulaniGulani Vision Institute, 8075 Gate Parkway West Suite 102, Jacksonville, FL 32216, USATel +1 904 296 7393Fax +1888 650-0744Email gulanivision@gulani.comBackground: To demonstrate the long-term results of enhanced cosmetic pterygium surgery with extensive Tenonectomy, adjunctive fibrin-glued amniotic membrane transplantation (AMT), and mitomycin C (MMC).Methods: Retrospective chart review of patients who had pterygium surgery with AMT and MMC between January 2001 to July 2017 and had completed at least 6 months of follow-up. Early and long-term postoperative cosmetic outcomes, recurrence rate, and complications were analyzed. Cosmetic outcomes were evaluated based on patient and surgeon reported outcome measures.Results: The study was conducted on a total of 603 eyes of 578 patients (316 males, 262 females) with an average age of 52.9 ± 15.1 years. At post-op day 1, patients reported no discomfort and could not tell which eye had surgery based on patient reported subjective grading scales. Over an average follow-up period of 23.1 ± 35 months (range: 6– 216 months), there was one pterygium recurrence (0.2%), eighteen granulomas (2.9%), one self-resolving scleral melt (0.2%), one correctable restricted ocular motility (0.2%), one pupil abnormality (0.2%), one dellen (0.2%) and one correctable upper lid abnormality (0.2%). Planned laser vision correction was used for residual corneal scar in eleven eyes (1.8%) as a staged refractive approach.Conclusion: This study highlights an improved technique of an old concept of pterygium surgery that not only reduces the recurrence but also enhances cosmetic excellence and improves the quality of vision.Keywords: amniotic membrane, mitomycin C, pterygium
format	article
author	Gulani AC Gulani AA
author_facet	Gulani AC Gulani AA
author_sort	Gulani AC
title	Cosmetic Pterygium Surgery: Techniques and Long-Term Outcomes
title_short	Cosmetic Pterygium Surgery: Techniques and Long-Term Outcomes
title_full	Cosmetic Pterygium Surgery: Techniques and Long-Term Outcomes
title_fullStr	Cosmetic Pterygium Surgery: Techniques and Long-Term Outcomes
title_full_unstemmed	Cosmetic Pterygium Surgery: Techniques and Long-Term Outcomes
title_sort	cosmetic pterygium surgery: techniques and long-term outcomes
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/a8b8ac40c99d45afa6f45f79abc39fb9
work_keys_str_mv	AT gulaniac cosmeticpterygiumsurgerytechniquesandlongtermoutcomes AT gulaniaa cosmeticpterygiumsurgerytechniquesandlongtermoutcomes
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Cosmetic Pterygium Surgery: Techniques and Long-Term Outcomes

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