Recurrent Pterygium Excision with Extended Resection and Limbal Conjunctival Autograft - Our Results

Shreesha Kumar Kodavoor; Preethi Venkatesh; Ramamurthy Dandapani; Gitansha Shreyas Sachdev

doi:doi:10.11648/j.ijovs.20210602.11

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Recurrent Pterygium Excision with Extended Resection and Limbal Conjunctival Autograft - Our Results

Shreesha Kumar Kodavoor, Preethi Venkatesh, Ramamurthy Dandapani, Gitansha Shreyas Sachdev

Published in International Journal of Ophthalmology & Visual Science (Volume 6, Issue 2)

Received: 8 March 2021 Accepted: 26 March 2021 Published: 7 April 2021

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Abstract

Aim: To analyze the recurrence rates and complications after extended resection and limbal conjunctival autograft in recurrent pterygium cases. Materials and methods: Retrospective analysis of 216 eyes of 214 patients was done. All the surgeries were performed under subconjuctival infiltrative anaesthesia. Extensive excision of the pterygium was done along with 1mm of normal conjunctival tissue all around and the tenons was resected all around behind and beyond the excised conjunctival margins. A large conjunctival autograft with a thin block limbal tissue in the graft was taken from the superior conjunctiva and placed on the bare sclera with proper orientation (limbal end towards the cornea) and was fixed with fibrin glue. In 6 cases the autograft with the limbal tissue was taken from the inferior conjunctiva as the superior conjunctiva was scarred due to previous surgeries No other adjuvants were used during the procedure. Results: Among the 214 patients, 212 patients had unilateral recurrent pterygium and 2 patients had bilateral recurrent pterygium. All the patients were followed up for a minimum of 6 months with an average follow up of 18 months. Recurrence was seen in 6 eyes (2.7%), out of which 2 eyes had one recurrence earlier, 3 eyes had two recurrences earlier and one eye had three recurrences before. Conclusion: Extended pterygium resection with large limbal conjunctival autograft seems to be an effective surgical procedure in recurrent pterygium with less recurrence and encouraging results.

Published in	International Journal of Ophthalmology & Visual Science (Volume 6, Issue 2)
DOI	10.11648/j.ijovs.20210602.11
Page(s)	67-71
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Recurrent Pterygium, Limbal Conjunctival Autograft, Extended Resection, Recurence

References

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[11]	Fakhry MA. The use of mitomycin C with autologous limbal-conjunctival autograft transplantation for management of recurrent pterygium. Clinical Ophthalmology (Auckland, NZ). 2011; 5: 123.
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[13]	Shimazaki J, Shinozaki N, Tsubota K. Transplantation of amniotic membrane and limbal autograft for patients with recurrent pterygium associated with symblepharon. British Journal of Ophthalmology. 1998 Mar 1; 82 (3): 235-40.
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[17]	Hirst LW. Recurrent pterygium surgery using pterygium extended removal followed by extended conjunctival transplant: recurrence rate and cosmesis. Ophthalmology. 2009 Jul 1; 11 6 (7): 1278-86.
[18]	Malik KP, Goel R, Gutpa A, Gupta SK, Kamal S, Mallik VK, Singh S (2012) Efficacy of sutureless and glue free limbal conjunctival autograft for primary pterygium surgery. Nepal J Ophthalmol 4 (2): 230–235.
[19]	Masters JS, Harris DJ Jr (2015) Low recurrence rate of pterygium after excision with conjunctival limbal autograft: a retrospective study with long-term follow-up. Cornea 34 (12): 1569–1572.
[20]	Al Fayez MF (2013) Limbal-conjunctival versus conjunctival autograft transplant for recurrent pterygia: a prospective randomized controlled trial. JAMA Ophthalmol 131 (1): 11-16.
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[22]	Management of Recurrent Pterygium With Intraoperative Mitomycin C and Conjunctival Autograft With Fibrin Glue. RaneenShehadeh Mashor Sathish Srinivasan Corey Boimer Kenneth Lee Oren Tomkins Allan R. Slomovic
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APA Style

Shreesha Kumar Kodavoor, Preethi Venkatesh, Ramamurthy Dandapani, Gitansha Shreyas Sachdev. (2021). Recurrent Pterygium Excision with Extended Resection and Limbal Conjunctival Autograft - Our Results. International Journal of Ophthalmology & Visual Science, 6(2), 67-71. https://doi.org/10.11648/j.ijovs.20210602.11

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ACS Style

Shreesha Kumar Kodavoor; Preethi Venkatesh; Ramamurthy Dandapani; Gitansha Shreyas Sachdev. Recurrent Pterygium Excision with Extended Resection and Limbal Conjunctival Autograft - Our Results. Int. J. Ophthalmol. Vis. Sci. 2021, 6(2), 67-71. doi: 10.11648/j.ijovs.20210602.11

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AMA Style

Shreesha Kumar Kodavoor, Preethi Venkatesh, Ramamurthy Dandapani, Gitansha Shreyas Sachdev. Recurrent Pterygium Excision with Extended Resection and Limbal Conjunctival Autograft - Our Results. Int J Ophthalmol Vis Sci. 2021;6(2):67-71. doi: 10.11648/j.ijovs.20210602.11

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@article{10.11648/j.ijovs.20210602.11,
  author = {Shreesha Kumar Kodavoor and Preethi Venkatesh and Ramamurthy Dandapani and Gitansha Shreyas Sachdev},
  title = {Recurrent Pterygium Excision with Extended Resection and Limbal Conjunctival Autograft - Our Results},
  journal = {International Journal of Ophthalmology & Visual Science},
  volume = {6},
  number = {2},
  pages = {67-71},
  doi = {10.11648/j.ijovs.20210602.11},
  url = {https://doi.org/10.11648/j.ijovs.20210602.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20210602.11},
  abstract = {Aim: To analyze the recurrence rates and complications after extended resection and limbal conjunctival autograft in recurrent pterygium cases. Materials and methods: Retrospective analysis of 216 eyes of 214 patients was done. All the surgeries were performed under subconjuctival infiltrative anaesthesia. Extensive excision of the pterygium was done along with 1mm of normal conjunctival tissue all around and the tenons was resected all around behind and beyond the excised conjunctival margins. A large conjunctival autograft with a thin block limbal tissue in the graft was taken from the superior conjunctiva and placed on the bare sclera with proper orientation (limbal end towards the cornea) and was fixed with fibrin glue. In 6 cases the autograft with the limbal tissue was taken from the inferior conjunctiva as the superior conjunctiva was scarred due to previous surgeries No other adjuvants were used during the procedure. Results: Among the 214 patients, 212 patients had unilateral recurrent pterygium and 2 patients had bilateral recurrent pterygium. All the patients were followed up for a minimum of 6 months with an average follow up of 18 months. Recurrence was seen in 6 eyes (2.7%), out of which 2 eyes had one recurrence earlier, 3 eyes had two recurrences earlier and one eye had three recurrences before. Conclusion: Extended pterygium resection with large limbal conjunctival autograft seems to be an effective surgical procedure in recurrent pterygium with less recurrence and encouraging results.},
 year = {2021}
}

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TY  - JOUR
T1  - Recurrent Pterygium Excision with Extended Resection and Limbal Conjunctival Autograft - Our Results
AU  - Shreesha Kumar Kodavoor
AU  - Preethi Venkatesh
AU  - Ramamurthy Dandapani
AU  - Gitansha Shreyas Sachdev
Y1  - 2021/04/07
PY  - 2021
N1  - https://doi.org/10.11648/j.ijovs.20210602.11
DO  - 10.11648/j.ijovs.20210602.11
T2  - International Journal of Ophthalmology & Visual Science
JF  - International Journal of Ophthalmology & Visual Science
JO  - International Journal of Ophthalmology & Visual Science
SP  - 67
EP  - 71
PB  - Science Publishing Group
SN  - 2637-3858
UR  - https://doi.org/10.11648/j.ijovs.20210602.11
AB  - Aim: To analyze the recurrence rates and complications after extended resection and limbal conjunctival autograft in recurrent pterygium cases. Materials and methods: Retrospective analysis of 216 eyes of 214 patients was done. All the surgeries were performed under subconjuctival infiltrative anaesthesia. Extensive excision of the pterygium was done along with 1mm of normal conjunctival tissue all around and the tenons was resected all around behind and beyond the excised conjunctival margins. A large conjunctival autograft with a thin block limbal tissue in the graft was taken from the superior conjunctiva and placed on the bare sclera with proper orientation (limbal end towards the cornea) and was fixed with fibrin glue. In 6 cases the autograft with the limbal tissue was taken from the inferior conjunctiva as the superior conjunctiva was scarred due to previous surgeries No other adjuvants were used during the procedure. Results: Among the 214 patients, 212 patients had unilateral recurrent pterygium and 2 patients had bilateral recurrent pterygium. All the patients were followed up for a minimum of 6 months with an average follow up of 18 months. Recurrence was seen in 6 eyes (2.7%), out of which 2 eyes had one recurrence earlier, 3 eyes had two recurrences earlier and one eye had three recurrences before. Conclusion: Extended pterygium resection with large limbal conjunctival autograft seems to be an effective surgical procedure in recurrent pterygium with less recurrence and encouraging results.
VL  - 6
IS  - 2
ER  -

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Author Information

Shreesha Kumar Kodavoor

Department of Cornea and Phacorefractive, The Eye Foundation, Coimbatore, India
Preethi Venkatesh

Department of Cornea and Phacorefractive, The Eye Foundation, Coimbatore, India
Ramamurthy Dandapani

Department of Cataract and Refractive, The Eye Foundation, Coimbatore, India
Gitansha Shreyas Sachdev

Department of Cataract and Refractive, The Eye Foundation, Coimbatore, India

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APA Style

Shreesha Kumar Kodavoor, Preethi Venkatesh, Ramamurthy Dandapani, Gitansha Shreyas Sachdev. (2021). Recurrent Pterygium Excision with Extended Resection and Limbal Conjunctival Autograft - Our Results. International Journal of Ophthalmology & Visual Science, 6(2), 67-71. https://doi.org/10.11648/j.ijovs.20210602.11

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ACS Style

Shreesha Kumar Kodavoor; Preethi Venkatesh; Ramamurthy Dandapani; Gitansha Shreyas Sachdev. Recurrent Pterygium Excision with Extended Resection and Limbal Conjunctival Autograft - Our Results. Int. J. Ophthalmol. Vis. Sci. 2021, 6(2), 67-71. doi: 10.11648/j.ijovs.20210602.11

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AMA Style

Shreesha Kumar Kodavoor, Preethi Venkatesh, Ramamurthy Dandapani, Gitansha Shreyas Sachdev. Recurrent Pterygium Excision with Extended Resection and Limbal Conjunctival Autograft - Our Results. Int J Ophthalmol Vis Sci. 2021;6(2):67-71. doi: 10.11648/j.ijovs.20210602.11

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@article{10.11648/j.ijovs.20210602.11,
  author = {Shreesha Kumar Kodavoor and Preethi Venkatesh and Ramamurthy Dandapani and Gitansha Shreyas Sachdev},
  title = {Recurrent Pterygium Excision with Extended Resection and Limbal Conjunctival Autograft - Our Results},
  journal = {International Journal of Ophthalmology & Visual Science},
  volume = {6},
  number = {2},
  pages = {67-71},
  doi = {10.11648/j.ijovs.20210602.11},
  url = {https://doi.org/10.11648/j.ijovs.20210602.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20210602.11},
  abstract = {Aim: To analyze the recurrence rates and complications after extended resection and limbal conjunctival autograft in recurrent pterygium cases. Materials and methods: Retrospective analysis of 216 eyes of 214 patients was done. All the surgeries were performed under subconjuctival infiltrative anaesthesia. Extensive excision of the pterygium was done along with 1mm of normal conjunctival tissue all around and the tenons was resected all around behind and beyond the excised conjunctival margins. A large conjunctival autograft with a thin block limbal tissue in the graft was taken from the superior conjunctiva and placed on the bare sclera with proper orientation (limbal end towards the cornea) and was fixed with fibrin glue. In 6 cases the autograft with the limbal tissue was taken from the inferior conjunctiva as the superior conjunctiva was scarred due to previous surgeries No other adjuvants were used during the procedure. Results: Among the 214 patients, 212 patients had unilateral recurrent pterygium and 2 patients had bilateral recurrent pterygium. All the patients were followed up for a minimum of 6 months with an average follow up of 18 months. Recurrence was seen in 6 eyes (2.7%), out of which 2 eyes had one recurrence earlier, 3 eyes had two recurrences earlier and one eye had three recurrences before. Conclusion: Extended pterygium resection with large limbal conjunctival autograft seems to be an effective surgical procedure in recurrent pterygium with less recurrence and encouraging results.},
 year = {2021}
}

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TY  - JOUR
T1  - Recurrent Pterygium Excision with Extended Resection and Limbal Conjunctival Autograft - Our Results
AU  - Shreesha Kumar Kodavoor
AU  - Preethi Venkatesh
AU  - Ramamurthy Dandapani
AU  - Gitansha Shreyas Sachdev
Y1  - 2021/04/07
PY  - 2021
N1  - https://doi.org/10.11648/j.ijovs.20210602.11
DO  - 10.11648/j.ijovs.20210602.11
T2  - International Journal of Ophthalmology & Visual Science
JF  - International Journal of Ophthalmology & Visual Science
JO  - International Journal of Ophthalmology & Visual Science
SP  - 67
EP  - 71
PB  - Science Publishing Group
SN  - 2637-3858
UR  - https://doi.org/10.11648/j.ijovs.20210602.11
AB  - Aim: To analyze the recurrence rates and complications after extended resection and limbal conjunctival autograft in recurrent pterygium cases. Materials and methods: Retrospective analysis of 216 eyes of 214 patients was done. All the surgeries were performed under subconjuctival infiltrative anaesthesia. Extensive excision of the pterygium was done along with 1mm of normal conjunctival tissue all around and the tenons was resected all around behind and beyond the excised conjunctival margins. A large conjunctival autograft with a thin block limbal tissue in the graft was taken from the superior conjunctiva and placed on the bare sclera with proper orientation (limbal end towards the cornea) and was fixed with fibrin glue. In 6 cases the autograft with the limbal tissue was taken from the inferior conjunctiva as the superior conjunctiva was scarred due to previous surgeries No other adjuvants were used during the procedure. Results: Among the 214 patients, 212 patients had unilateral recurrent pterygium and 2 patients had bilateral recurrent pterygium. All the patients were followed up for a minimum of 6 months with an average follow up of 18 months. Recurrence was seen in 6 eyes (2.7%), out of which 2 eyes had one recurrence earlier, 3 eyes had two recurrences earlier and one eye had three recurrences before. Conclusion: Extended pterygium resection with large limbal conjunctival autograft seems to be an effective surgical procedure in recurrent pterygium with less recurrence and encouraging results.
VL  - 6
IS  - 2
ER  -

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