2012, Number 2
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Rev Cub Oftal 2012; 25 (2)
Use of conjunctival autograft and amniotic membrane in primary pterygium surgery
Fernandez GK, Gómez CZ, Castillo PA, Pérez PZ, Jareño OM, Perea RCA
Language: Spanish
References: 10
Page:
PDF size: 36.92 Kb.
ABSTRACT
Objective: to compare the effectiveness of the conjunctival autograft and the amniotic membrane graft in the primary pterygium surgery at “Ramón Pando Ferrer” Cuban Institute of Ophthalmology from September 2009 to September 2010.
Methods: a prospective, random and comparative study. The universe was composed by 80 eyes from 80 patients diagnosed with primary pterygium. They had undergone the surgical excision of a primary nasal fibrovascular hyperplasia. They were divided in two single-randomized groups (A and B); the group A patients (40 eyes) were implanted with amniotic membrane graft whereas those of group B (40 eyes) were implanted with conjunctival autograft.
Results: during the 6 month follow-up, 4 recurrences were reported (10 %) in group A and only 2 in group B (5 %). No complications were presented in both groups. The conjunctival autograft was more effective.
Conclusions: the relapse was more frequent in amniotic membrane surgery than in conjunctival autograft, although the difference was not significant. Both techniques are considered as effective for this pathology.
REFERENCES
Miranda-Rollón MD, Pérez-González LE, Sentieri-Omarrementería A, Martínez-Rodríguez R, Parente-Hernández B, Junceda-Moreno J. Cirugía del pterigión: estudio comparativo entre autoinjerto conjuntival con sutura y con adhesivo tisular. Arch Soc Esp Oftalmol. 2009;84(4):179-84.
Tseng SG, Sun TT. Stem cells: ocular surface maintenance. In: Brightbill FS. Corneal surgery theory, technique, tissue. 4ta. ed. St. Loius: Mosby; 2008. p. 9-18.
Dua HS. Azuara-Blanco A. Limbal Stem Cells of the corneal epithelium. Surv Ophthalmol. 2000;44(5):415-25.
Pastor-Vivas AI, Alejandre-Alba N, García-Vega MI, Ariño-Gutiérrez M, García-Sandoval B, Jiménez-Alfaro I. Cuantificación y cualificación del dolor postquirúrgico en la cirugía de pterigión con autoinjerto conjuntival. Arch Soc Esp Oftalmol. 2011;86(6):176-9.
Rojas Álvarez E. Pterigión y su relación con la actividad laboral y el sexo. Rev Cubana Salud Pública. 2009 [citado 7 de feb de 2012];35(3). Disponible en: http://scielo.sld.cu/pdf/rcsp/v35n3/spu07309.pdf
Ma DH, See L, Liau S, Tsai RJ. Amniotic membrane graft for primary pterygium: comparison with conjunctival autograft and topical mitomycin C treatment. Br J Ophthalmol. 2000;84(9):973-8.
Moreno López R. Estudio comparativo entre escisión de pterigión primario con autoinjerto conjuntival, membrana amniótica y cierre primario. Rev Mex Oftalmol. 2004;78(6):291-7.
Ibáñez Hernández MA, Ramos Espinoza K. Cirugía de pterigión: membrana amniótica vs. autoinjerto de conjuntiva. Rev Mex Oftalmol. 2006;80(1):9-11.
Aragonés Cruz B. Estudio prospectivo de trasplante conjuntival con células límbicas o sin ellas, en el pterigium primario. Rev Cubana Oftalmol. 2006[citado 7 de feb de 2012];19(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21762006000200004
Tabares Ochoa JC. Génesis del pterigión. Una aproximación desde la biología molecular. Rev Mex Oftalmol. 2006;80(6):318-24.