Amniotic membrane transplantation with conjunctival autograft for recurrent pterygium

Jun Shimazaki, Koichi Kosaka, Shigeto Shimmura, Kazuo Tsubota

研究成果: Article査読

68 被引用数 (Scopus)

抄録

Objective: To study the effect of amniotic membrane transplantation (AMT) combined with either limbal autograft transplantation (LAT) or conjunctival autograft transplantation (CAT) in recurrent pterygium. Design: Retrospective, noncomparative, interventional case series. Participants: Twenty-seven eyes of 27 patients with recurrent pterygium. The mean number of prior surgeries was 3.1 (range, 1-10). Fifteen eyes each had restriction of ocular movement and symblepharon before surgery. Intervention: Patients were treated by AMT with either LAT (n = 15) or CAT (n = 12). Main Outcome Measures: Recurrence of pterygium, improvement in ocular movement, and symblepharon formation. Results: Twenty-three (85.2%) of 27 eyes showed no recurrence with a mean observation period of 67.0 weeks. Fourteen eyes (93.3%) each showed improvement in ocular movement restriction and symblepharon after AMT. In four eyes that developed recurrence, three had LAT and one had CAT combined with AMT, suggesting that there was no difference in surgical outcome between LAT and CAT. Conclusions: AMT with CAT is a safe and effective method for recurrent pterygium, especially that associated with ocular movement restriction and symblepharon. Considering the potential adverse effects associated with limbal excision, AMT plus CAT may be preferred over AMT plus LAT.

本文言語English
ページ(範囲)119-124
ページ数6
ジャーナルOphthalmology
110
1
DOI
出版ステータスPublished - 01-01-2003
外部発表はい

All Science Journal Classification (ASJC) codes

  • 眼科学

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