Clinical study of coparision of pterygium surgery with and without Mitomycin-C on bare sclera technique
Journal Title: International Journal of Medical Research and Review - Year 2016, Vol 4, Issue 1
Abstract
Introduction: A pterygium is a triangular wedge of fibro-vascular conjunctival tissue that appears on the epibulbar conjunctiva, which can be removed by various methods. Recurrence of Pterygium after exicision is a very common problem encountered by ophthalmologist. Several methods have been suggested to avoid these recurrences. We studied the recurrence rate of pterygium after application of intraoperative mitomycin C (0.04%). Method: This is a retrospective study of fifty eyes in fifty patients who underwent pterygium excision by the same surgeon using intraoperative topical mitomycin C (25 patients) and without using mitomycin c(25 patients) during September 20014— September 2015 in the ophthalmology department at Jhalawar medical college, Jhalawar, Rajasthan. 0.04% Mitomycin applied to bare sclera after excision for two minutes by swab sticks. Postoperative follow up period was 6 months. Outcomes measured in the form of recurrence and complications were analyzed. Results: In Group A with use of mitomycin C there was no recurrence after 6 months follow-up while in Group B recurrence was seen in 5 patients within 3-6 months, however in group A 1 patient had scleral thinning. Conclusion: Intraoperative administration of mitomycin C 0.04% is safe and effective to prevent pterygium recurrences.
Authors and Affiliations
Mohan Lal Gupta, Ravindra Kumar Meena, Veena Bhardwaj
Keywords
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