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Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Int+Med+Case+Rep+J 2018 ; 11 (ä): 47-52 Nephropedia Template TP
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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 PMID29563842show 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.