학술논문
Efficacy and Safety of a Large Conjunctival Autograft for Recurrent Pterygium
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- 영문명
- 발행기관
- 대한안과학회
- 저자명
- Jun Seok Lee Sang Won Ha Sung Yu Gwang Ja Lee Young Jeung Park
- 간행물 정보
- 『The Korean Journal of Ophthalmology』Vol.31 No.6, 469~478쪽, 전체 10쪽
- 주제분류
- 의약학 > 기타의약학
- 파일형태
- 발행일자
- 2017.12.30
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국문 초록
영문 초록
Purpose: To evaluate the efficacy and safety of pterygium excision using a large conjunctival autograft for the treatment of recurrent pterygium.
Methods: The medical records of 120 patients (126 eyes) with recurrent pterygium were reviewed. For each affected eye, pterygium excision with a large conjunctival autograft was performed. The graft was harvested from the superior bulbar area and measured more than 8 × 10 mm in size. Only patients who completed at least six months of follow-up were included. Postoperative clinical outcomes, recurrence rate, and complications were analyzed. Patients with any evidence of recurrence after surgery received a subconjunctival bevacizumab injection.
Results: The average patient age was 56.5 ± 10.2 years, and 45 out of 120 patients were male. The mean study follow-up period was 17.7 ± 17.6 months. Most patients were satisfied with the cosmetic outcome.
Postoperative visual acuity improved from 0.69 to 0.75 (p < 0.05). Postoperative refractive astigmatism and corneal astigmatism decreased by 0.55 and 2.73 diopters, respectively (p < 0.05). The postoperative recurrence
rate was 4.0%, and the average recurrence period was 7.4 ± 0.6 weeks. A subconjunctival injection of 5 mg bevacizumab was performed in cases of recurrence; no progression of the pterygium was observed
following the injection. Postoperative complications included 2 cases of conjunctival graft edema in 2 eyes, 5
donor site scars in 5 eyes, 13 pyogenic granulomas in 13 eyes, and a conjunctival epithelial inclusion cyst in 7
eyes.
Conclusions: Pterygium excision with a large conjunctival autograft for the treatment of recurrent pterygium
produced an excellent cosmetic outcome, a low recurrence rate, and minimal complications. A subconjunctival
bevacizumab injection given in cases of recurrence following surgery might be effective in preventing progression of the pterygium.
목차
Materials and Methods
Results
Discussion
Conflict of Interest
References
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참고문헌
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