A study of various surgical treatment modalities for the treatment of primary and recurrent pterygium at tertiary health care center
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2016, Vol 20, Issue 3
Abstract
Introduction: Pterygium is a Greek word for wing. Pterygium is a wing shaped flesh growth of elastotic, degenerative conjunctive on corneal limbus. it is fibrovascularsubepithelial in growth of conjunctiva. Aims and Objective: To Study of various surgical treatment modalities for the treatment of primary and recurrent pterygium at tertiary health care center. Material and Methodology: In this study 51 eyes of patients with pterygium who underwent excision with conjunctival auto grafting in our institute in last 18 months were reviewed. Data is collected from operation theatre records. The conjunctival auto graft was harvested from the superotemporal conjunctive and secured with 10-0 ethilon. Five ophthalmologists with minimum 5 years of surgical experience were involved in the study. Risk factors for recurrence were evaluated with regard to individual surgeon variation, patient’s demographic factors and pathology of the pterygium. Result: The most common age group was >60 i.e. 27.45% followed by 51-60- 25.49%; in 41-50. 21.56%; 31-40- 19.60%; <30- 5.88%.The majority of the Patients were Males i.e. 68.62% followed by Female i.e. 31.37% .The majority of the Patients were Unilateral - 88.23% and Bilateral were 11.76%. Recurrence rate was highest in recurrent type of pterygium i.e. 25 % and in Primary was 20%. Recurrence rate was highest in Fleshy i.e. 27.02% and in Atrophic was 7.14%.The most common postoperative complication was Steroid responders found in 2 cases followed by Granuloma formation, Conjunctival cyst formation, Symblepharon formation, Sclera thinning in recurrent pterygium was found in 1 case. Conclusion: Ideal pterygium surgery should achieved 3 principle goals viz. low recurrence rate, absence of complication and satisfactory cosmoses. Conjunctivalautogarfting has definite lower recurrence rate as compared with recurrence rates of other procedure published in litereature. Procedure is safe with low complication rate. Wide inter surgeon variation is observed with this procedure .surgeons who had performed more conjunctivalautografts for pterygium before the study were found to have a lower recurrence rate, suggesting a learning curve effects.
Authors and Affiliations
Hemkala L Trivedi, Sujit M Murade, Anuja Gharat, Darshana B Rathod
Keywords
Related Articles
- EP ID EP498769
- DOI -
- Views 107
- Downloads 0
High Risk Factors and Angiographic Investigation among Indian Women with Coronary Artery Disease
Background: Cardiovascular disease (CVD) is globally considered as the leading cause of death with 80% of CVD related deaths being reported from low and middle income countries like India. Several emerging risk factors a...
A study of gentamicin level in CSF of the pediatric patients with meningitis
Abstract Introduction: Paediatric clinical pharmacology is well established in western countries, but in our country. Bioavailability of a drug is altered in paediatric age group especially due to many variable factor, l...
Anthocyanin from red tamarind, Tamarindus indica var. rhodocarpa as a potential natural pigment for use in textile industry
Tamarindus indica var. rhodocarpa (red tamarind) is one of the fruits rich in anthocyanins and these pigments can be used as natural dye for dying fabrics instead of synthetic dyes which are harmful. This study has been...
Effect of Herbicides (Lasso and Basalin) on Germination and Plant Height on Soybean (GLYCINE MAX L.)
100 presoaked seeds of varieties Bragg and Birsa-1 of Soybean (Glycine max L.) were treated with three concentrations namely 0.25%, 0.50% and 1.00% for Lasso and 0.17%, 0.33% and 0.66% for Basalin for two hours and then...
Acute twisted bowel - management by resection and primary anastomosis
Objective: To evaluate the outcome of resection and Primary Anastomosis in cases of Acute Sigmoid Volvulus. Methodology: This study was conducted in the Department of Surgery, M.G.M Medical College and L.S.K. Hospital, K...