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2018 ; 11
(ä): 47-52
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Recurrent pterygium treatment using mitomycin C, double amniotic membrane
transplantation, and a large conjunctival flap
#MMPMID29563842
Monden Y
; Hotokezaka F
; Yamakawa R
Int Med Case Rep J
2018[]; 11
(ä): 47-52
PMID29563842
show ga
PURPOSE: The aim of this study was to evaluate the clinical outcomes of surgery
for recurrent pterygia using mitomycin C (MMC), double amniotic membrane
transplantation (AMT), and a large conjunctival flap. PATIENTS AND METHODS: This
retrospective case series included 31 eyes in 31 patients with recurrent
pterygia. All patients underwent pterygium excision, application of MMC, double
AMT, and placement of a large conjunctival flap. Outcome measures were visual
acuity, astigmatism, and recurrence. Recurrence was defined as the presence of
fibrovascular proliferative tissue crossing the limbus. RESULTS: The patients'
mean age was 68.2 years. The mean follow-up period was 3.6 years. The mean
preoperative and postoperative best-corrected visual acuities (logMAR conversion)
were 0.23 and 0.13, respectively. There was a significant difference between the
mean preoperative (-3.85 D) and postoperative (-2.22 D) astigmatism. The
recurrence rate was 3.2% (1/31 cases). CONCLUSION: Surgical pterygium excision
with application of MMC, double AMT, and placement of a large conjunctival flap
was an effective treatment for recurrent pterygia.