Inferior limbal-conjunctival autograft transplantation for recurrent pterygium.
OBJECTIVE
To study the safety and efficacy of inferior limbal-conjunctival autograft (LCAT) transplantation in the surgical management of recurrent pterygium.


METHODS
Prospective non-comparative case series. Inferior limbal-conjunctival autografting was performed on 11 patients (11 eyes) with recurrent pterygium. Pterygium recurrence was considered a surgical failure.


RESULTS
Recurrence of pterygium was noted in two (18.2%) eyes, after a mean follow up of 16.2 +/- 0.9 months (range: 10-19 months). Neither recurrence required further surgical treatment. Nonprogressive pseudopterygium formation was noted at the donor site in five (45.5%) eyes.


CONCLUSIONS
Inferior LCAT appears to be a safe and effective option in the management of recurrent pterygium. In patients with suspected or proven glaucoma, this may be the procedure of choice, if mitomycin C is contraindicated.
Department of Ophthalmology and Visual Sciences, Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong.
A K
AK
Wong
S K
SK
Rao
A T
AT
Leung
A S
AS
Poon
D S
DS
Lam
D000328:Adult; D000368:Aged; D003228:Conjunctiva / Q000637:transplantation*; D016039:Corneal Transplantation / Q000379:methods*; D005260:Female; D006801:Humans; D016850:Limbus Corneae / Q000166:cytology*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011625:Pterygium / Q000601:surgery*; D055502:Secondary Prevention; D014182:Transplantation, Autologous