Treatment of pterygium with conjunctival limbal autograft and mitomycin C--a comparative study.
A total of 60 eyes with primary progressive pterygium were selected. They were randomly divided into two groups ie, group A and group B each consisting of 30 eyes. Group A patients were treated with pteryglum excision with ipsilateral conjunctival-limbal autografting. Group B patients were treated with pterygium excision followed by mitomycin C 0.02% for two minutes. Both groups were followed up for one year postoperatively to document recurrence rates and postoperative complications. In group A recurrence rate was 3.0% with minimal ocular complication after one year follow-up. But in group B recurrence rate was high as 10.0% and ocular complications were significant after the same period of postoperative follow-up. Both conjunctival-limbal autograft and intra-operative mitomycin use are effective method of surgical treatment of pterygium but considering the rate of recurrence and other postoperative ocular morbidity conjunctival-limbal autografting seems to be the best method of pterygium treatment.
Biswas
Mukul Chandra
MC
Department of Ophthalmology, NRS Medical College and Hospital, Kolkata 700014.
Shaw
Chittaranjan
C
Mandal
Radhakrishna
R
Islam
Md Nazrul
MN
Chakroborty
Milan
M
D000328:Adult; D000903:Antibiotics, Antineoplastic / Q000627:therapeutic use*; D003228:Conjunctiva / Q000637:transplantation*; D018450:Disease Progression; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016685:Mitomycin / Q000627:therapeutic use*; D011625:Pterygium / Q000188:drug therapy* / Q000601:surgery; D014182:Transplantation, Autologous; D016896:Treatment Outcome