[Prospective study of surgical therapy of pterygium: bare sclera technique vs. free conjunctiva-limbus transplant].
Many techniques of pterygium surgery with various rates of recurrence are described in the literature. We report on the outcome after pterygium excision with bare-sclera technique compared with free transplantation of limbal conjunctiva. We used the bare-sclera technique in 21 eyes and performed free transplantation of conjunctiva in 34 eyes. The duration of follow-up was 14 months. In patients operated with the bare-sclera technique there were significantly more recurrences (eight vs four, P < 0.025) and cases of development of pyogenic granuloma (four eyes vs no eyes, P < 0.01). In patients with primary surgery and free limbal transplant we found no case of recurrence, but the bare-sclera technique was associated with a recurrence rate of 35.5% (P < 0.01). We recommend free limbal conjunctival transplantation even in patients with primary surgery of a pterygium.
Hille
K
K
Universitäts-Augenklinik, Homburg/Saar.
Höh
H
H
Gross
A
A
Ruprecht
K W
KW
D000368:Aged; D000369:Aged, 80 and over; D003228:Conjunctiva / Q000637:transplantation*; D016039:Corneal Transplantation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D011446:Prospective Studies; D011625:Pterygium / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D012590:Sclera / Q000637:transplantation*
Prospektive Studie zur operativen Therapie des Pterygiums: Bare-Sklera-Technik vs. freies Bindehaut-Limbus-Transplantat.