Purpose: To evaluate the rate of recurrence and to detect pre- or postoperative complications in pterygium surgery using fibrin glue to attach the conjunctival autograft.
Methods: Retrospective case series. In a period of 20 months, 35 patients were operated on for a pterygium using a conjunctival autograft, of which 7 patients were operated (20%) for a recurrent pterygium. The autograft was glued with Tissucol Duo 500, a human tissue glue. Follow-up was at least 1 year.
Results: Mean age was 50.4 years (range, 23-80 years), 18 women and 17 men. Success rate was 97.1%. In 1 patient with a primary pterygium, the lesion recurred after 4 months (2.9%). One autograft was lost on the first postoperative day. No other pre- or postoperative problems were encountered.
Conclusions: The use of Tissucol fibrin glue seems to be a safe, easy, and effective technique for attaching the conjunctival autograft in pterygium surgery. The recurrence rate of the procedure is low.
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http://dx.doi.org/10.1097/ICO.0b013e3181dea7f0 | DOI Listing |
Ann Ital Chir
January 2025
Department of Ophthalmology, Affiliated Hospital 2 of Nantong University, 226001 Nantong, Jiangsu, China.
Aim: This study aimed to evaluate the impact of pterygium excision combined with autologous limbal stem cell transplantation on microvascular density, tear film stability, and corneal wound healing in the management of pterygium.
Methods: A retrospective analysis was conducted on 317 patients with pterygium who underwent treatment between January 2021 and January 2024. Patients were divided into a control group (pterygium excision alone, n = 161) and a study group (pterygium excision combined with autologous limbal stem cell transplantation, n = 156) based on the surgical approach.
J AAPOS
December 2024
Harvard Medical School, Boston, Massachusetts; Department of Ophthalmology, Boston Children's Hospital, Boston, Massachusetts; Picower Institute for Learning and Memory, Massachusetts Institute of Technology, Cambridge, Massachusetts. Electronic address:
A man in his 60s developed an intermittent, variable left hypotropia with symptomatic diplopia following nasal pterygium surgery in the left eye. No tropia was present for most of the day, but a variable left hypotropia of 25 could be provoked with downgaze. There was no history of radiation or other trauma.
View Article and Find Full Text PDFIndian J Ophthalmol
December 2024
Department of Ophthalmology, Military Hospital, Panagarh, West Bengal, India.
We describe a novel technique for recurrent pterygium and assess the advantage of properties of extended tenonectomy, amniotic membrane transplantation, and limbal epithelial transplantation in terms of recurrence rate, postoperative symptoms, postoperative orthoptics, and other complications. A total of nine eyes with recurrent pterygium underwent PERMISLET, i.e.
View Article and Find Full Text PDFSci Rep
December 2024
Eugene and Marilyn Glick Eye Institute, Indiana University School of Medicine, RM305v, 1160 W. Michigan St., Indianapolis, IN, 46202, USA.
Pterygium is an ocular disease in which the conjunctival tissue invades the cornea. When the pterygium tissue reaches the pupillary region, the visual function of the patient is affected. Currently, surgical removal is the only effective treatment.
View Article and Find Full Text PDFAm J Ophthalmol Case Rep
December 2024
The George Washington University, 2150 Pennsylvania Avenue, Washington, D.C, 20037, United States.
Purpose: The purpose of this case series is to report three cases of exposed, unburied polytetrafluoroethylene (Gore-tex) sutures used for scleral fixated intraocular lenses and their management, including failure of pericardial patch and success of irradiated corneal patch. This series aims to inform management options for this uncommon adverse event.
Observations: A retrospective case series was conducted of three patients who presented at a tertiary care center with exposure of unburied Gore-tex sutures used for fixation of intraocular lens.
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