Archivos de la Sociedad Espanola de Oftalmologia · 2026
Improvement in quality of life and ocular surface symptoms after pterygium excision with conjunctival autograft and fibrin glue: a prospective study.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод в очереди
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Alarcón García A D, Burgos-Blasco B, Robles Amor P, Miranda Sánchez A, Pérez García P, Arriola Villalobos P
Аннотация
INTRODUCTION AND OBJECTIVES: To evaluate changes in quality of life in patients with pterygium before and after pterygium excision with conjunctival autograft using standardized questionnaires.
MATERIALS AND METHODS: A prospective observational study including patients scheduled for pterygium surgery was conducted. Patients completed the Ocular Surface Disease Index (OSDI) and the Visual Function Questionnaire 25 (NEI VFQ-25) before surgery and at 2 and 6 months postoperatively. Sex, age, prior treatments, visual acuity, and corneal and limbal pterygium extension were recorded. A standard surgical procedure was performed by experienced ocular surface surgeons under topical anaesthesia, consisting of pterygium excision via avulsion followed by superior conjunctival autograft fixation using tissue adhesive.
RESULTS: Twenty eyes were included in this study: mean age 50.0 ± 11.5 years, and 12 patients (60%) were male. Visual acuity was 0.8 ± 0.2 (decimal scale), and the mean pterygium size was 3.3 ± 1.0 mm of corneal invasion and 3.3 ± 1.1 mm of limbal invasion. The mean preoperative OSDI score was 47.6 ± 20.6 (no differences between sexes; P = .650), which decreased significantly to 35.8 ± 18.1 at 2 months (11.8 [95%CI, 4.5-19.1]; P = .001) and to 29.0 ± 13.9 at 6 months postoperatively (18.6 [95%CI, 9.6-27.5]; P < .001). The mean preoperative NEI VFQ-25 score was 71.8 ± 6.8, with no significant differences between males and females (P = .928). Mean VFQ scores differed significantly across time points (F (1.5, 29.1) = 3.7; P = .047), although post hoc analysis showed no significant pairwise differences.
CONCLUSIONS: Pterygium surgery significantly improves ocular symptomatology in most patients, with improvement observed within the first 6 months postoperatively.
MATERIALS AND METHODS: A prospective observational study including patients scheduled for pterygium surgery was conducted. Patients completed the Ocular Surface Disease Index (OSDI) and the Visual Function Questionnaire 25 (NEI VFQ-25) before surgery and at 2 and 6 months postoperatively. Sex, age, prior treatments, visual acuity, and corneal and limbal pterygium extension were recorded. A standard surgical procedure was performed by experienced ocular surface surgeons under topical anaesthesia, consisting of pterygium excision via avulsion followed by superior conjunctival autograft fixation using tissue adhesive.
RESULTS: Twenty eyes were included in this study: mean age 50.0 ± 11.5 years, and 12 patients (60%) were male. Visual acuity was 0.8 ± 0.2 (decimal scale), and the mean pterygium size was 3.3 ± 1.0 mm of corneal invasion and 3.3 ± 1.1 mm of limbal invasion. The mean preoperative OSDI score was 47.6 ± 20.6 (no differences between sexes; P = .650), which decreased significantly to 35.8 ± 18.1 at 2 months (11.8 [95%CI, 4.5-19.1]; P = .001) and to 29.0 ± 13.9 at 6 months postoperatively (18.6 [95%CI, 9.6-27.5]; P < .001). The mean preoperative NEI VFQ-25 score was 71.8 ± 6.8, with no significant differences between males and females (P = .928). Mean VFQ scores differed significantly across time points (F (1.5, 29.1) = 3.7; P = .047), although post hoc analysis showed no significant pairwise differences.
CONCLUSIONS: Pterygium surgery significantly improves ocular symptomatology in most patients, with improvement observed within the first 6 months postoperatively.