AI Article Synopsis
- The study aimed to assess the effectiveness of strontium-yttrium-90 beta-irradiation in treating both primary and recurrent pterygia, focusing on recurrence rates and functional outcomes.
- Over a follow-up period averaging nearly 47 months, the treatment successfully reduced the size of all pterygia without any reported recurrences or side effects and improved visual acuity and astigmatism.
- The findings suggest that this beta-irradiation treatment is efficient and well-tolerated, offering better aesthetic and rehabilitative outcomes compared to traditional methods, particularly for recurrent cases after surgery.
Article Abstract
Purpose: To evaluate the consecutive treatment results regarding pterygium recurrence and the efficacy of exclusive strontium-/yttrium-90 beta-irradiation for primary and recurrent pterygia and to analyze the functional outcome.
Patients And Methods: Between October 1974 and December 2005, 58 primary and 21 recurrent pterygia were exclusively treated with strontium-/yttrium-90 beta-irradiation with doses ranging from 3,600 to 5,500 cGy. The follow-up time was 46.6 +/- 26.7 months, with a median of 46.5 months.
Results: The treatment led to a size reduction in all pterygia (p < 0.0001). Neither recurrences nor side effects were observed during therapy and follow-up in this study. Best-corrected visual acuity increased (p = 0.0064). Corneal astigmatism was reduced in recurrent pterygia (p = 0.009).
Conclusion: Exclusive strontium-/yttrium-90 beta-irradiation of pterygia is a very efficient and well-tolerated treatment, with remarkable aesthetic and rehabilitative results in comparison to conventional treatments, especially for recurrent lesions which have undergone prior surgical excision.
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| http://dx.doi.org/10.1007/s00066-009-2000-1 | DOI Listing |
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