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2018 ; 11
(3
): 395-400
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Clinical outcome of combined conjunctival autograft transplantation and amniotic
membrane transplantation in pterygium surgery
#MMPMID29600172
Malla T
; Jiang J
; Hu K
Int J Ophthalmol
2018[]; 11
(3
): 395-400
PMID29600172
show ga
AIM: To compare long-term outcome of primary and recurrent pterygium surgery with
three different techniques: combined conjunctival autograft and overlay amniotic
membrane transplantation (CAT with AMT), conjunctival autograft transplantation
(CAT) alone and amniotic membrane transplantation (AMT) alone. METHODS: In this
retrospective study, 142 eyes of 142 pterygium patients (104 primary, 38
recurrent) who underwent CAT (group A), AMT (group B) or CAT with AMT (group C)
respectively following surgical excision were reviewed and compared based on the
recurrences and post-operative complications. RESULTS: The number of recurrence
post-surgery were 17 (9 from primary, 8 from recurrent; the same description
below), 18 (10, 8) and 2 (1, 1) in groups A, B, and C respectively; dry eyes were
22 (16, 6), 27 (18, 9) and 7 (3, 4); conjunctival inflammations were 30 (17, 13),
27 (16, 11) and 11 (6, 5). Patients in group C (either primary or recurrent or
both) mainly showed significantly better results than those in group A or B
(P<0.05) regarding above-mentioned clinical effects. CONCLUSION: Combined CAT and
overly AMT have significantly lower rates of recurrence and postoperative
complications for primary and recurrent pterygium surgery than CAT or AMT alone.