Comparison between conjunctival autograft and intraoperative mitomycin C in surgical treatment of pterygium according to the recurrence rate | ||||
| Journal of Recent Advances in Medicine | ||||
| Article 13, Volume 2, Issue 1, January 2021, Page 104-111 PDF (464.17 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/jram.2020.42975.1084 | ||||
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| Authors | ||||
Omnia K. Elshreef   1; Adel M. Abdelwahab1; Muhammad H. Abu Elaish2
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| 1Ophthalmology Department, Faculty of Medicine for Girls, Cairo, Al- Azhar University, Egypt. | ||||
| 2Ophthalmology Department, Military Medical Academy, Cairo, Egypt. | ||||
| Abstract | ||||
| ABSTRACT Background: pterygium is a common disease that affect many people in the world especially in the tropics and in an equatorial zone between 30° north and south latitudes. Egypt is one of the highly affected contraries. The most important problem in treatment of pterygium is high recurrence rate. Aim: to compare conjunctival autograft and intraoperative mitomycin C to determine the best technique that can reduce the recurrence rate. Methodology: this prospective interventional study comprised 40 eyes of 40 patients with primary pterygium included from the outpatient clinics of the ophthalmology departments at Al-Zahraa University Hospital and The Italian Military Hospital over a period of 15 months (from March 2019 to May 2020). They were randomized into two groups according to the adjuvant used: (1) intraoperative 0.02% MMC for 3 minutes or (2) conjunctival autografting technique. Patients were followed for recurrence and complications for a period of 6 months. Results: 40 eyes of 40 patients their age ranged from 21 and 65 years in group (1) and between 27 and 60 years in group (2) with a male predominance of 30 cases (75%). There were 2 recurrences (10%) in MMC group and 1 recurrence (5%) in conjunctival autograft group. There was no statistically significant difference in the recurrence rate between the two groups. There were 2 cases of granuloma one case in each group and one case of partial graft dehiscence in group 2. Conclusion: Both conjunctival autograft and intraoperative mitomycin C techniques are effective treatment modalities for treatment of primary pterygium and for reduction of recurrence rate. There is no significant difference between both techniques as regards the recurrence rate. | ||||
| Keywords | ||||
| Keywords: Conjunctival limbal autograft; Mitomycin; Pterygium; Recurrence | ||||
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