[Limbal-conjunctival autograft in pterygium surgery].
BACKGROUND
The aim of this study was to estimate the efficacy of limbal-conjunctival autograft in the treatment of pterygium.


METHODS
We conducted a retrospective study including 15 patients (16 eyes) operated on for pterygium by limbal-conjunctival autograft. The examination included the search for risk factors and visual acuity, as well as corneal astigmatism and pterygium measurement. The follow-up included an examination at day 8, 1 month, and 3 months and assessed the integration of the transplant on the eye's surface, the aesthetic aspect, and recurrence. We describe the patients' characteristics, visual acuity, and astigmatism before and after surgery.


RESULTS
The mean age of the patients was 56 years (range, 31-81 years). Before surgery, irritative signs and astigmatism, were found in 37% and impaired visual acuity in 81%. The mean duration of the follow-up after surgery was 19 months. Visual acuity and astigmatism improved in 56% of our patients. All transplants and harvest sites had a satisfactory macroscopic aspect. However, one patient suffered from a corneal invasion by fibrovascular tissue, 7 months postoperatively, which remained stable at the end of follow-up.


CONCLUSIONS
In our study, the limbal-conjunctival autograft was a safe and effective surgical treatment with a very low recurrence rate at long-term follow-up.
Service d'Ophtalmologie, CHU Nancy-Brabois, Vandoeuvre-les-Nancy, France. gilles.mery@chu-nancy.fr
G
G
Mery
T
T
Maalouf
J-L
JL
George
K
K
Angioi
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001251:Astigmatism / Q000150:complications; D015984:Causality; D003228:Conjunctiva / Q000637:transplantation*; D016510:Corneal Neovascularization / Q000209:etiology / Q000473:pathology; D016039:Corneal Transplantation / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005355:Fibrosis; D006801:Humans; D016850:Limbus Corneae; D008297:Male; D008875:Middle Aged; D011625:Pterygium / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D012008:Recurrence; D012189:Retrospective Studies; D012449:Safety; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D014792:Visual Acuity