Outcomes of sequential pterygium and cataract surgery: A prospective case series
Journal Title: IP International Journal of Ocular Oncology and Oculoplasty - Year 2018, Vol 4, Issue 1
Abstract
Aim To evaluate the visual outcome and corneal stability after sequential pterygium and cataract surgery in patients presenting with both pterygium and cataractMaterials and Methods Twenty patients with pterygium more than 2mm on the cornea with immature cataract underwent sequential pterygium surgery with conjunctival autograft secured by autologus blood followed by manual small incision cataract surgery after one month as the cornea stabilizesResults The mean age of the patients was 5980plusmn671 years Nasal pterygium was present in 19 95 while one had both nasal and temporal pterygium in same eye The immature cataract was nuclear sclerosis grade 2 3 in all cases with posterior sub capsular cataract of variable densities The mean uncorrected distant visual acuity UDVA at presentation was 095plusmn027 logMAR units significantly improved post sequential pterygium and cataract surgery to 012plusmn012 logMAR units P lt 0001 Paired samples ttest After sequential pterygium and cataract surgery the mean manifest astigmatism of the 17 85 patients with UDVA69 66 and the 3 15 patients with UDVA 612 were 042 D and 133D respectivelyConclusion The sequential surgery of pterygium excision with conjunctival autograft followed by manual small incision cataract surgery is the safe and effective way in providing the better visual outcome with proper counseling of patients regarding the outcome and their participationKeywords Conjunctival autograft Manual small incision cataract surgery Pterygium
Authors and Affiliations
Ganapathy Kalaiselvi, Dinu Kumar
Keywords
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- EP ID EP513392
- DOI 10.18231/2455-8478.2018.0010
- Views 55
- Downloads 0
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