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BMC Ophthalmology
Published in: BMC Ophthalmology 1/2017

Open Access 01-12-2017 | Research article

Low recurrence rate of anchored conjunctival rotation flap technique in pterygium surgery

Authors: Dong Ju Kim, Jimmy K. Lee, Roy S. Chuck, Choul Yong Park

Published in: BMC Ophthalmology | Issue 1/2017

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Abstract

Background

To report the recurrence rate for an anchored conjunctival rotation flap technique in primary pterygium surgery.

Methods

Primary pterygium surgeries performed using anchored conjunctival rotation flap techniques (110 eyes in 110 patients) with a minimum follow-up of 12 months were reviewed. In this technique, a conjunctival flap is rotated to cover the bare sclera and suture-fixated with either 8–0 polyglactin (41 eyes) or 10–0 nylon (69 eyes). The recurrence rate was determined, and the two suture materials utilized were compared.

Results

The recurrence rate was 2.71% (3 cases in 110 eyes) when an anchored conjunctival rotation flap technique was used and patients were monitored for 26.40 ± 17.09 months. Interestingly, the recurrences were only observed in polyglactin-sutured eyes. No recurrence was detected in nylon-sutured eyes. No other complications were observed in either group.

Conclusions

The anchored conjunctival rotation flap technique for pterygium surgery has a relatively low recurrence rate. Nylon suture-fixation of the flap was found to be superior to polyglactin suture-fixation in preventing recurrence.
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Literature
1.
Clearfield E, Muthappan V, Wang X, Kuo IC. Conjunctival autograft for pterygium. Cochrane Database Syst Rev. 2016;2:CD011349.
2.
Al Fayez MF. Limbal-conjunctival vs conjunctival autograft transplant for recurrent pterygia: a prospective randomized controlled trial. JAMA Ophthalmol. 2013;131(1):11–6.
3.
Kenyon KR, Wagoner MD, Hettinger ME. Conjunctival autograft transplantation for advanced and recurrent pterygium. Ophthalmology. 1985;92(11):1461–70.CrossRefPubMed
4.
Hirst LW. Recurrence and complications after 1000 surgeries using pterygium extended removal followed by extended conjunctival transplant. Ophthalmology. 2012;119(11):2205–10.
5.
Kheirkhah A, Nazari R, Nikdel M, Ghassemi H, Hashemi H, Behrouz MJ. Postoperative conjunctival inflammation after pterygium surgery with amniotic membrane transplantation versus conjunctival autograft. Am J Ophthalmol. 2011;152(5):733–8.
6.
Koranyi G, Artzen D, Seregard S, Kopp ED. Intraoperative mitomycin C versus autologous conjunctival autograft in surgery of primary pterygium with four-year follow-up. Acta Ophthalmol. 2012;90(3):266–70.
7.
Martins TG, Costa AL, Alves MR, Chammas R, Schor P. Mitomycin C in pterygium treatment. Int J Ophthalmol. 2016;9(3):465–8.
8.
Cornelius CR. Recurrence rate and complications of Pterygium extended removal followed by extended Conjunctival transplant. Cornea. 2017;36:101-3.
9.
Kim SH, Oh JH, Do JR, Chuck RS, Park CY. A comparison of anchored conjunctival rotation flap and conjunctival autograft techniques in pterygium surgery. Cornea. 2013;32(12):1578–81.
10.
Park CY, Choi JS, Lee SJ, Hwang SW, Kim EJ, Chuck RS. Cyclooxygenase-2-expressing macrophages in human pterygium co-express vascular endothelial growth factor. Mol Vis. 2011;17:3468–80.PubMedPubMedCentral
11.
Prabhasawat P, Barton K, Burkett G, Tseng SC. Comparison of conjunctival autografts, amniotic membrane grafts, and primary closure for pterygium excision. Ophthalmology. 1997;104(6):974–85.CrossRefPubMed
12.
Chui J, Di Girolamo N, Wakefield D, Coroneo MT. The pathogenesis of pterygium: current concepts and their therapeutic implications. Ocul Surf. 2008;6(1):24–43.CrossRefPubMed
13.
Tan DT, Chee SP, Dear KB, Lim AS. Effect of pterygium morphology on pterygium recurrence in a controlled trial comparing conjunctival autografting with bare sclera excision. Arch Ophthalmol. 1997;115(10):1235–40.CrossRefPubMed
14.
Han SB, Jeon HS, Kim M, Lee SJ, Yang HK, Hwang JM, Kim KG, Hyon JY, Wee WR. Risk factors for recurrence after Pterygium surgery: an image analysis study. Cornea. 2016;35(8):1097–103.
15.
Zheng K, Cai J, Jhanji V, Chen H. Comparison of pterygium recurrence rates after limbal conjunctival autograft transplantation and other techniques: meta-analysis. Cornea. 2012;31(12):1422–7.
16.
Ha SW, Park JH, Shin IH, Kim HK. Clinical analysis of risk factors contributing to recurrence of pterygium after excision and graft surgery. Int J Ophthalmol. 2015;8(3):522–7.
17.
Kwon SH, Kim HK. Analysis of recurrence patterns following pterygium surgery with conjunctival autografts. Medicine (Baltimore). 2015;94(4):e518.
18.
Cha DM, Kim KH, Choi HJ, Kim MK, Wee WR. A comparative study of the effect of fibrin glue versus sutures on clinical outcome in patients undergoing pterygium excision and conjunctival autografts. Korean J Ophthalmol. 2012;26(6):407–13.
19.
Wong VW, Rao SK, Lam DS. Polyglactin sutures versus nylon sutures for suturing of conjunctival autograft in pterygium surgery: a randomized, controlled trial. Acta Ophthalmol Scand. 2007;85(6):658–61.CrossRefPubMed
20.
Oguz H. Polyglactin sutures versus nylon sutures for suturing of conjunctival autograft in pterygium surgery. Acta Ophthalmol. 2008;86(3):345. author reply 345CrossRefPubMed
21.
Pan HW, Zhong JX, Jing CX. Comparison of fibrin glue versus suture for conjunctival autografting in pterygium surgery: a meta-analysis. Ophthalmology. 2011;118(6):1049–54.
22.
Ratnalingam V, Eu AL, Ng GL, Taharin R, John E. Fibrin adhesive is better than sutures in pterygium surgery. Cornea. 2010;29(5):485–9.
23.
Sharma A, Raj H, Gupta A, Raina AV. Sutureless and glue-free versus sutures for Limbal Conjunctival autografting in primary Pterygium surgery: a prospective comparative study. J Clin Diagn Res. 2015;9(11):NC06–9.
24.
Kucukerdonmez C, Karalezli A, Zengin MO, Akova YA. Vascularization of conjunctival autografts in pterygium surgery: comparison of fibrin glue with sutures. Eur J Ophthalmol. 2014;24(6):824–9.
Metadata
Title
Low recurrence rate of anchored conjunctival rotation flap technique in pterygium surgery
Authors
Dong Ju Kim
Jimmy K. Lee
Roy S. Chuck
Choul Yong Park
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2017
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/s12886-017-0587-z

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