Oftalmologia (Bucharest, Romania : 1990) · 2009
[Limbo-conjunctival autografting in pterygium surgery].
Сравнительное исследованиеАннотация на английскомСтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Madaras Z, Horváth Karin, Módis L
Аннотация
PURPOSE: To evaluate the efficiency of the limbo-conjunctival autografting in pterygium surgery.
MATERIALS AND METHODS: A study has been undertaken in two centers. The first one, which was a prospective observational one, went on for 20 months and included the patients operated with pterygium in the Ophthalmology Clinic in TgMures, RO. Two surgical techniques have been used: limbo-conjunctival autografting and the Arlt technique. The results of the two methods have been followed and compared, as well as the intra and post-surgery complications. The second study, a retrospective observational type of study, went on for 15 months and included the patients operated with pterygium in the Ophthalmology clinic in Debrecen, Hungary. We used 4 methods to treat the pterygium: the Arlt method, the McReynolds method, the sclero-corneal lamellar plasty and the limbo-conjunctival autografting. We analysed the obtained results using all these 4 methods.
RESULTS: In the Ophthalmology Clinic in Targu-Mures we operated, during those 20 months, 106 patients with pterygium. Of these, 36 were operated using the limbo-conjunctival autografting, the rest using the Arlt technique. We noticed less relapse when the limbo-conjunctival autografting was used. In the Ophthalmology Clinic in Debrecen, during a 15 months period, there were 33 patients operated for pterygium. The largest number of relapses was noticed with the Arlt technique.
CONCLUSIONS: When comparing the different methods used in the pterygium surgery in terms of relapse we noticed the increased efficiency of the limbo-conjunctival autografting. The encouraging results stimulate us in using and recommending this method.
MATERIALS AND METHODS: A study has been undertaken in two centers. The first one, which was a prospective observational one, went on for 20 months and included the patients operated with pterygium in the Ophthalmology Clinic in TgMures, RO. Two surgical techniques have been used: limbo-conjunctival autografting and the Arlt technique. The results of the two methods have been followed and compared, as well as the intra and post-surgery complications. The second study, a retrospective observational type of study, went on for 15 months and included the patients operated with pterygium in the Ophthalmology clinic in Debrecen, Hungary. We used 4 methods to treat the pterygium: the Arlt method, the McReynolds method, the sclero-corneal lamellar plasty and the limbo-conjunctival autografting. We analysed the obtained results using all these 4 methods.
RESULTS: In the Ophthalmology Clinic in Targu-Mures we operated, during those 20 months, 106 patients with pterygium. Of these, 36 were operated using the limbo-conjunctival autografting, the rest using the Arlt technique. We noticed less relapse when the limbo-conjunctival autografting was used. In the Ophthalmology Clinic in Debrecen, during a 15 months period, there were 33 patients operated for pterygium. The largest number of relapses was noticed with the Arlt technique.
CONCLUSIONS: When comparing the different methods used in the pterygium surgery in terms of relapse we noticed the increased efficiency of the limbo-conjunctival autografting. The encouraging results stimulate us in using and recommending this method.