TY - JOUR
T1 - Surgical result of pterygium extended removal followed by fibrin glue-assisted amniotic membrane transplantation
AU - Liu, Hsin Yu
AU - Chen, Yuh Fang
AU - Chen, Ta Ching
AU - Yeh, Po Ting
AU - Hu, Fung Rong
AU - Chen, Wei Li
N1 - Publisher Copyright:
© 2015
PY - 2017/1/1
Y1 - 2017/1/1
N2 - Background/Purpose To report the recurrence rate and cosmetic results of conjunctival wound edge and caruncle, and complications after pterygium extended removal followed by fibrin glue-assisted amniotic membrane transplantation. Methods A prospective interventional cohort study enrolled 57 (58 eyes) patients undergoing pterygium extended removal followed by fibrin glue-assisted amniotic membrane transplantation. All patients received postoperative follow-up for at least 12 months. Recurrence rate was graded from 1 to 4, and cosmetic results of conjunctival edge and caruncle were graded from 1 to 5. Results The cohort included 48 eyes with nasal pterygium, 5 eyes with temporal pterygium, and 5 eyes with double pterygium. There were 81.0% (n = 47), 0% (n = 0), 12% (n = 7), and 7% (n = 4) of eyes with Grades 1–4 recurrence, respectively. The cosmetic results of conjunctival wound edge and caruncle in cases with nasal pterygium showed 59.3% (n = 32), 14.8% (n = 8), 9.3% (n = 5), 16.6% (n = 9), and 0% (n = 0) of eyes with Grades 1–5 morphology, respectively. Overall, 5.1% (n = 3), 3.4% (n = 2), 3.4% (n = 2), 3.4% (n = 2), 1.7% (n = 1), 6.9% (n = 4), and 1.7% (n = 1) of patients suffered from postoperative pyogenic granuloma, transient diplopia, permanent motility restriction, steroid glaucoma, fat prolapse, subamniotic membrane hemorrhage, and early detachment of amniotic membrane, respectively. Conclusion Pterygium extended removal followed by fibrin glue-assisted amniotic membrane transplantation results in low recurrence, satisfactory cosmetic results and a low incidence of additional complications.
AB - Background/Purpose To report the recurrence rate and cosmetic results of conjunctival wound edge and caruncle, and complications after pterygium extended removal followed by fibrin glue-assisted amniotic membrane transplantation. Methods A prospective interventional cohort study enrolled 57 (58 eyes) patients undergoing pterygium extended removal followed by fibrin glue-assisted amniotic membrane transplantation. All patients received postoperative follow-up for at least 12 months. Recurrence rate was graded from 1 to 4, and cosmetic results of conjunctival edge and caruncle were graded from 1 to 5. Results The cohort included 48 eyes with nasal pterygium, 5 eyes with temporal pterygium, and 5 eyes with double pterygium. There were 81.0% (n = 47), 0% (n = 0), 12% (n = 7), and 7% (n = 4) of eyes with Grades 1–4 recurrence, respectively. The cosmetic results of conjunctival wound edge and caruncle in cases with nasal pterygium showed 59.3% (n = 32), 14.8% (n = 8), 9.3% (n = 5), 16.6% (n = 9), and 0% (n = 0) of eyes with Grades 1–5 morphology, respectively. Overall, 5.1% (n = 3), 3.4% (n = 2), 3.4% (n = 2), 3.4% (n = 2), 1.7% (n = 1), 6.9% (n = 4), and 1.7% (n = 1) of patients suffered from postoperative pyogenic granuloma, transient diplopia, permanent motility restriction, steroid glaucoma, fat prolapse, subamniotic membrane hemorrhage, and early detachment of amniotic membrane, respectively. Conclusion Pterygium extended removal followed by fibrin glue-assisted amniotic membrane transplantation results in low recurrence, satisfactory cosmetic results and a low incidence of additional complications.
KW - amniotic membrane transplantation
KW - caruncle
KW - fibrin glue
KW - pterygium
KW - recurrence
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U2 - 10.1016/j.jfma.2015.10.013
DO - 10.1016/j.jfma.2015.10.013
M3 - Article
C2 - 26868168
AN - SCOPUS:84956879856
SN - 0929-6646
VL - 116
SP - 10
EP - 17
JO - Journal of the Formosan Medical Association
JF - Journal of the Formosan Medical Association
IS - 1
ER -