2012, Number 1
<< Back Next >>
Acta Med Cent 2012; 6 (1)
Postoperative complications of conjunctival autograft in primary pterygium
Bello MB, de Armas MIC, Lima LC, Guerra IR, Castillo GF
Language: Spanish
References: 20
Page:
PDF size: 57.41 Kb.
ABSTRACT
Pterygium is an objective problem in ophthalmology, despite the enormous scientific and technical development achieved in recent years and the many surgical techniques performed. The recurrence rate is between 20 and 40% compared to conventional techniques. The conjunctival autograft is a procedure used successfully in recent years. It is based on a thorough cleaning of the area of the pterygium and the transplantation of the normal conjunctiva to the raw area where this was dissected. After the study of this technique, it was determined that it is simple and that their rate of recurrence is low. An observational-descriptive, prospective and cross-sectional study was conducted. The universe consisted of all patients (eyes) diagnosed with primary pterygium who were surgically treated with this surgical technique in the Eye Center of the State of Lara, Venezuela, in the period from June 2006 to June 2010. A sample was selected using a simple random sampling of 150 patients. Most of them were between 30 and 50 years of age, there was a predominance of males and generally were agricultural workers. The most frequent complication was the granuloma and only 4.6% of patients relapsed with this surgical technique.
REFERENCES
Samaha JT, Schellini AS, Sakamoto RH, Padovani CR. Tratamento do pterígio recidivado por transplante autólogo de conjuntiva. Arq Bras Oftalmol. 2002;65(4):415-8.
Tan DTR, Lim ASM, Goh RS, Smith DR. Abnormal expression of the P53 tumor suppressor gene in the conjunctiva of patients with pterygium. Am J Ophthalmol. 1997;123:404-5.
Onur C, Orhan D, Orharn M. Expression of P53 protein in pterygium. Eur J Ophthalmol. 1998;8:157-61.
Dushku N, Ratcher SLS, Albert DM, Reid TW. P53 expression and relation to human papillomavirus infection in pingueculae, pterygia and limbal tumors. Arch Ophthalmol. 1999;17:1593-9.
Solomon A, Pires RT, Tseng SC. Amniotic Membrane Transplantation after extensive removal of primary and recurrent pterygia. Ophtalmology. 2001;108(3):449-60.
Solomon A, Lin DQ, Lee SB, Tseng SCG. Regulation of collagenase, stromelysin and urokinase-type plasminogen activator in primary pterygium body fibroblast by inflammatory cytokines. Invest Ophtalmol Vis Sci. 2000;41:2154-63.
Al Fayez MF. Limbal versus conjunctival autograft transplantation for advanced and recurrent pterygium. Ophthalmology. 2002;109:1752-5.
Yanyali AC. Intraoperative Mitomycin C in the treatment of pterygium. Cornea. 2000;19(4):471-3.
Pterygium. Eye Conditions A-Z. [Internet] Kellogg Eye Institute: University of Michigan; 2005 [actualizado 9 ene 2011; citado 16 feb 2011]. Disponible en: http://www.kellogg.umich.edu/patientcare/condi tions/pterygium.html
10.Luthra R. Frequency and risk factors for pterygium in the Barbados Eye Study. Arch Ophth. 2001;119(12):1827-32.
11.Kanski, Jack J. Oftalmología Clínica. 5ta ed. Madrid: Harcourt; 2004.
12.Kenyon KR, Wagoner MD, Hettinger ME. Conjuntival autograft transplantation for advancedand recurrent pterygium. Ophthalmolgy. 1985;92:1461-70.
13.Chen PP, Ariyasu RG, Kaza V. Arandomize trial comparing mitomycin Cand conjunctival autograft after excision of primary pterygium. Am J Ophthalmol. 1995;120:151-60.
14.Domínguez JJ, León FA. Epidemiología del pterigion quirúrgico en la isla de la palma. Arch Soc Canar Oftalmol. 2002;13:47-54.
15.Aragonés B. Estudio prospectivo de trasplante conjuntival con células límbicas o sin ellas, en el pterigium primario. Rev Cubana Oftalmol [Internet]. 2006[citado 16 feb 2011];19(2):[aprox. 8 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21762006000200004
16.Avisar R. Primary pterygium recurrence time. Isr Med Assoc J. 2001;3(11):836-7.
17.Lani Aisa Haidar, Lani Luiz Alexandre. Conjunctival autograft transplantation in primary pterygium. Arq Bras Oftalmol. 2005;68(1):99-102.
18.Chianadía P. La cornea en apuros. 1ra ed. Buenos Aires: Ediciones Científicas Argentinas; 2006.
19.Pterygium. MedlinePlus Medical Encyclopedia. [Internet] U.S: National Library of Medicine and the National Institutes of Health; 2005 [actualizado 27 ago 2007; citado 16 feb 2011]. Disponible en: http://www.nlm.nih.gov/medlineplus/ency/article/001011.htm
Garcia SG, Alleoni S, Junqueira AM, Rezende R. Técnica de enxerto autólogo de conjuntiva em pterigiectomia primária e recidivada. Rev Bras Oftalmol. 1994;53(4): 33-6.