Transplantation of conjunctival limbal autograft and amniotic membrane vs mitomycin C and amniotic membrane in treatment of recurrent pterygium

被引:24
作者
Fallah, M. R. [1 ]
Golabdar, M. R. [1 ]
Amozadeh, J. [1 ]
Zare, M. A. [1 ]
Moghimi, S. [1 ]
Fakhraee, G. [1 ]
机构
[1] Univ Tehran Med Sci, Farabi Eye Hosp, Eye Res Ctr, Dept Ophthalmol, Tehran, Iran
关键词
conjunctival limbal autograft; amniotic membrane transplantation; mitomycin C; recurrent pterygium;
D O I
10.1038/sj.eye.6702657
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Aim: To compare the efficacy and complications of conjunctival limbal autograft (CLAU) and amniotic membrane transplantation (AMT) vs intraoperative mitomycin C (MMC) and AMT for treatment of recurrent pterygium. Methods: Forty eyes of 40 patients with recurrent pterygium underwent CLAU and AMT (20 eyes) or intraoperative MMC (0.02%, 3 min) and AMT (20 eyes). Three eyes (15%) had symblepharon before surgery in each group. Recurrence was compared in each group by using chi(2) test. Results: No major postoperative complications occurred during 6-19 months of follow-up. In CLAU/AMT group, no pterygium recurrence was observed. Recurrence occurred in four eyes (20%) in MMC/AMT group after 3 and 4 months (P-value = 0.035, chi(2) test). No recurrence of pterygium or symblepharon was seen in six eyes with recurrent pterygium and symblepharon (three eyes in each group). Conclusion: CLAU with AMT seems to be more effective than intraoperative MMC with AMT for treatment of recurrent pterygium.
引用
收藏
页码:420 / 424
页数:5
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