الملخص
Purpose: This study aimed to report the comparison of recurrence rate and complications of intrapterygial injection of mitomycin C (MMC) 1 month before bare sclera excision of pterygium with and without conjunctival flap from the inferior bulbar conjunctiva. Methods: This prospective interventional study enrolled 60 patients of pterygia from November 2010 to June 2012. All eyes received 0.1 ml (0.02%) of intrapterygial MMC injection 1 month preoperatively. Patients were divided into two groups of 30 each: Group 1 - bare scleral excision (BSE) and Group 2 - BSE with conjunctival flap from the inferior bulbar conjunctiva to cover the bare sclera. Chi-square test, Fisher's exact test, and unpaired t-test were used for statistical analysis. Results: The mean age was 40.6 ± 12.8 years and 36.9 ± 10.9 years in Group 1 and 2, respectively, (P = 0.2329). There were 11 (36.7%) males and 19 (63.3%) females in Group 1 and 7 (23.3%) males and 23 (76.7%) females in Group 2 (P = 0.101). The recurrence rate was 0% in Group 1 and 3.3% (1 eye) in Group 2 (P = 1.00). Postoperatively, scleral whitening occurred in 6 (20%) eyes in Group 1 and none in Group 2 (P = 0.015). Conclusion: Both techniques, BSE alone or with conjunctival flap from the inferior bulbar conjunctiva 1 month after intrapterygial MMC, resulted in negligible (0%-3.3%) recurrence of pterygium. Conjunctival flap significantly reduced (0%) the postoperative complication of scleral whitening. This is the first report of efficacy of conjunctival flap in reducing scleral whitening after intrapterygial MMC.
الكلمات المفتاحية
بيانات النشر
- المعرّف الرقمي
- 10.4103/ojo.ojo_129_2018
- المجلة
- المجلة العُمانية لطب العيون, 12(3), 171-176
- الناشر
- منشورات ميدنو
- وصول مفتوح
- وصول مفتوح ذهبي
اقتبس هذه المقالة
APA 7
Gupta, V. P., Sanghi, S., Rohatgi, J., & Dhaliwal, U. (2019). Outcomes of preoperative intrapterygial injection of mitomycin C for pterygium excision with and without inferior conjunctival flap. Oman Journal of Ophthalmology, 12(3), 171-176. https://doi.org/10.4103/ojo.ojo_129_2018
MLA 9
Gupta, Ved Prakash, et al. "Outcomes of preoperative intrapterygial injection of mitomycin C for pterygium excision with and without inferior conjunctival flap." Oman Journal of Ophthalmology, vol. 12, no. 3, 2019, pp. 171-176. https://doi.org/10.4103/ojo.ojo_129_2018.
شيكاغو (المؤلف–التاريخ)
Gupta, Ved Prakash, Shekhar Sanghi, Jolly Rohatgi, and Upreet Dhaliwal. 2019. "Outcomes of preoperative intrapterygial injection of mitomycin C for pterygium excision with and without inferior conjunctival flap." Oman Journal of Ophthalmology 12 (3): 171-176. https://doi.org/10.4103/ojo.ojo_129_2018.
هارفارد
Gupta, V. P., Sanghi, S., Rohatgi, J. and Dhaliwal, U. (2019) 'Outcomes of preoperative intrapterygial injection of mitomycin C for pterygium excision with and without inferior conjunctival flap', Oman Journal of Ophthalmology, 12(3), pp. 171-176. doi:10.4103/ojo.ojo_129_2018.
فانكوفر
Gupta VP, Sanghi S, Rohatgi J, Dhaliwal U. Outcomes of preoperative intrapterygial injection of mitomycin C for pterygium excision with and without inferior conjunctival flap. Oman Journal of Ophthalmology. 2019;12(3):171-176. doi:10.4103/ojo.ojo_129_2018
IEEE
V. P. Gupta, S. Sanghi, J. Rohatgi, and U. Dhaliwal, "Outcomes of preoperative intrapterygial injection of mitomycin C for pterygium excision with and without inferior conjunctival flap," Oman Journal of Ophthalmology, vol. 12, no. 3, pp. 171-176, 2019, doi: 10.4103/ojo.ojo_129_2018.