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Amniotic Membrane Transplantation With Narrow-strip Conjunctival Autograft Vs. Conjunctival Autograft For Recurrent Pterygia | 103079
ISSN: 2155-9570

Journal of Clinical & Experimental Ophthalmology
Open Access

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Amniotic membrane transplantation with narrow-strip conjunctival autograft vs. conjunctival autograft for recurrent Pterygia

27th European Ophthalmology Congress

Jose Bonifacio Barbosa, Charles Costa De Farias, Flavio Eduardo Hirai, and Jose Alvaro Pereira Gomes

Federal University of Sao Paulo, Brazil

ScientificTracks Abstracts: J Clin Exp Ophthalmol

DOI: 10.4172/2155-9570-C10-105

Abstract
Introduction: To compare amniotic membrane transplantation (AMT) associated with narrow-strip conjunctival autograft versus conjunctival autograft alone for the treatment of recurrent pterygium. Methods: Prospective consecutive interventional study. Patients with recurrent pterygium were randomly divided into one of two groups; Group 1: patients undergoing AMT associated with autologous conjunctival graft, and Group 2: patients undergoing conjunctival autograft alone. Results: Of the 80 operated eyes included in this study, 39 (Group 1, mean patient age: 52.1 11.7SD years) underwent AMT associated with narrow-strip conjunctival autograft and 41 (Group 2, mean patient age: 45.8 12.9SD years) underwent conjunctival autograft alone. In Group 1, 6 eyes (15.4%) had grade-1 pterygium, 19 eyes (48.7%) had grade-2 pterygium, and 14 eyes (35.9%) had grade-3 pterygium. In the second group, 5 eyes (12.2%) had grade-1 pterygium, 18 eyes (43.9%) had grade-2 pterygium, and 14 eyes (35.9%) had grade-3 pterygium. No statistically significant difference was found between the two groups (P = 0.752). Of the 39 eyes in Group 1, recurrent pterygium was observed in 7 cases (17.9%). However, of the 41 eyes in Group 2, recurrent pterygium was observed in only 4 cases (9.75%). No statistically significant difference was found between the two groups (P = 0.2684). Conclusions: The results of this study indicate that conjunctival autograft alone might be a better surgical choice for the treatment of recurrent pterygia than combining it with AMT, however, this second option provides a good surgical alternative in cases where little conjunctival donor tissue is available.
Biography

Bonifácio Barbosa Jr has her expertise in external disease, cornea and refractive surgery. Post-graduate Federal University of Sao Paulo (UNIFESP). Ophthalmologist Federal University of Maranhao (UFMA)

E-mail: [email protected]

 

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