A Study of Limbal Conjunctival Autograft Transplantation in Primary Pterygium

Jump To References Section

Authors

  • ,IN
  • ,IN
  • ,IN
  • ,IN

Keywords:

LCAT, Mitomycin C, Pterygium.
Education and Research

Abstract

Aim: To study limbal conjunctival autograft transplantation in primary pterygium. Material and Methods: The present study was conducted on 100 eyes of 100 patients with primary pterygium attending the outpatient department of Ophthalmology department of Dr. Vasantrao Pawar Medical college, Nashik from July 2011 to June 2013 who were managed by Limbal Conjunctival Autografting(LCAT) which were performed by single surgeon. Result: This study shows that most of the patients belonged to age groups of 31-70. The mean pre-op astigmatism of 2.60 +2.20 Diopters (D) significantly reduced to 1.28 +1.22D postoperatively. There is significant improvement in Post operative Best Corrected Visual Acuity (BCVA) compared to preoperative BCVA with difference of 0.17+0.02. Postoperatively out of 100 eyes, 4 recurrences occurred with recurrence rate of 4%. Conclusion: Limbal Conjunctival Autograft transplantation is a safe and effective technique in management of Pterygium.

Downloads

Published

2015-12-01

Issue

Section

Original Research Article

 

References

Zaky KS, Khalifa YM. Efficacy of preoperative injection

versus intraoperative application of mitomycin in recurrent

pterygium surgery. Indian J Ophthalmol. 2012 Jul;

(4):273-6.

Chowers I, Pe'er J, Zamir E, Livni N, Ilsar M, Frucht-Pery J.

Proliferative activity and p53 expression in primary and recurrent

pterygia. Ophthalmology. 2001 May; 108(5):985-8.

Chui J, Di Girolamo N, Wakefield D, Coroneo MT. The

pathogenesis of pterygium:current concepts and their therapeutic

implications. Ocul Surf. 2008 Jan; 6(1):24-43.

Moran DJ, Hollows FC. Ptergium and ultraviolet radiation:

a positive correlation. Br J Ophthalmol. 1984; 68:393-6.

Chen PP, Ariyasu RG, Kaza V, LaBree LD, McDonnell PJ. A

randomized trial comparing mitomycin C and conjunctival

autograft after excision of primary pterygium. Am J Ophthalmol.

Aug; 120(2):151-60.

Majoros J. Conjunctival transplantation for treatment of

pterygium. AJO. 1950; 61:1289.

Kenyon KR, Wagoner MD, Hettinger ME. Conjunctival autograft

transplantation for advanced and recurrent pterygium.

Ophthalmology. 1985; 92:1451-70.

Friendenwald JS, Buschke W. Some factors concerned in the

mitotic and wound healing activities of corneal epithelium.

Trans Am Opth SOC. 1944; 42:371-83.

Ebat B, Friend J, Thoft RA. Comparison of central and peripheral

human corneal epithelium in tissue culture. Invest

Ophthalmology Vis Sci. 1987; 28:1450-6.

Tseng SCG. Concept and application of limbal stem cells.

Eye. 1989; 3:141-57.

Saifuddin S, Baum KL. Recurrent pterygia-laser therapy. A

preliminary report. April 1993; 41(1):17-19.