Visual outcome and efficacy of conjunctival autograft, harvested from the body of pterygium in pterygium excision

Vipul Bhandari, Chandan Latha Rao, Sri Ganesh, Sheetal Brar Department of Cornea, Nethradhama Superspeciality Eye Hospital, Bangalore, India Purpose: To evaluate the efficacy of conjunctival autograft after the pterygium excision with fibrin adhesive using conjunctiva over the pterygium.Patients a...
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Gespeichert in:

Autor*in:	Bhandari V [verfasserIn] Rao CL [verfasserIn] Ganesh S [verfasserIn] Brar S [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2015

Schlagwörter:	conjunctival auto graft body

Übergeordnetes Werk:	In: Clinical Ophthalmology - Dove Medical Press, 2009, (2015), Issue 1, Seite 2285-2290
Übergeordnetes Werk:	year:2015 ; number:Issue 1 ; pages:2285-2290

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Katalog-ID:	DOAJ076331059

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520			\|a Vipul Bhandari, Chandan Latha Rao, Sri Ganesh, Sheetal Brar Department of Cornea, Nethradhama Superspeciality Eye Hospital, Bangalore, India Purpose: To evaluate the efficacy of conjunctival autograft after the pterygium excision with fibrin adhesive using conjunctiva over the pterygium.Patients and methods: This prospective study included 25 eyes of 25 patients with a mean age of 40+-10 years, who underwent the pterygium excision with conjunctival autograft derived from the body of the pterygium and attached using fibrin glue. The mean follow-up period was 6 months. On all postoperative visits, changes in uncorrected visual acuity, corrected distance visual acuity, astigmatism, complications, and the evidence of recurrence were recorded.Results: At the end of mean follow-up, uncorrected visual acuity and corrected distance visual acuity improved by one or two lines in all eyes treated. Mean astigmatism reduced significantly from a preoperative value from 2.308D to 1.248D postoperatively (P<0.026). Minor postoperative complications such as congestion, chemosis, and subconjunctival hemorrhage were seen, which resolved with time. No major sight-threatening or graft-related complications were detected. There was no evidence of recurrence during a follow-up period of 6 months.Conclusion: Self-conjunctival autograft following the pterygium excision appears to be a feasible, safe, and effective alternative method for management of pterygium. It also preserves the superior conjunctiva for future surgeries. However, longer follow-up is required to study the long-term outcomes, especially the incidence of recurrence. Keywords: Pterygium, self-conjunctival graft, body, autograft
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allfields	(DE-627)DOAJ076331059 (DE-599)DOAJ8e94a321527d4033a8a30a6ee3806b54 DE-627 ger DE-627 rakwb eng RE1-994 Bhandari V verfasserin aut Visual outcome and efficacy of conjunctival autograft, harvested from the body of pterygium in pterygium excision 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Vipul Bhandari, Chandan Latha Rao, Sri Ganesh, Sheetal Brar Department of Cornea, Nethradhama Superspeciality Eye Hospital, Bangalore, India Purpose: To evaluate the efficacy of conjunctival autograft after the pterygium excision with fibrin adhesive using conjunctiva over the pterygium.Patients and methods: This prospective study included 25 eyes of 25 patients with a mean age of 40+-10 years, who underwent the pterygium excision with conjunctival autograft derived from the body of the pterygium and attached using fibrin glue. The mean follow-up period was 6 months. On all postoperative visits, changes in uncorrected visual acuity, corrected distance visual acuity, astigmatism, complications, and the evidence of recurrence were recorded.Results: At the end of mean follow-up, uncorrected visual acuity and corrected distance visual acuity improved by one or two lines in all eyes treated. Mean astigmatism reduced significantly from a preoperative value from 2.308D to 1.248D postoperatively (P<0.026). Minor postoperative complications such as congestion, chemosis, and subconjunctival hemorrhage were seen, which resolved with time. No major sight-threatening or graft-related complications were detected. There was no evidence of recurrence during a follow-up period of 6 months.Conclusion: Self-conjunctival autograft following the pterygium excision appears to be a feasible, safe, and effective alternative method for management of pterygium. It also preserves the superior conjunctiva for future surgeries. However, longer follow-up is required to study the long-term outcomes, especially the incidence of recurrence. Keywords: Pterygium, self-conjunctival graft, body, autograft conjunctival auto graft body Ophthalmology Rao CL verfasserin aut Ganesh S verfasserin aut Brar S verfasserin aut In Clinical Ophthalmology Dove Medical Press, 2009 (2015), Issue 1, Seite 2285-2290 (DE-627)560177089 (DE-600)2415713-2 11775483 nnns year:2015 number:Issue 1 pages:2285-2290 https://doaj.org/article/8e94a321527d4033a8a30a6ee3806b54 kostenfrei https://www.dovepress.com/visual-outcome-and-efficacy-of-conjunctival-autograft-harvested-from-t-peer-reviewed-article-OPTH kostenfrei https://doaj.org/toc/1177-5483 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2015 Issue 1 2285-2290
spelling	(DE-627)DOAJ076331059 (DE-599)DOAJ8e94a321527d4033a8a30a6ee3806b54 DE-627 ger DE-627 rakwb eng RE1-994 Bhandari V verfasserin aut Visual outcome and efficacy of conjunctival autograft, harvested from the body of pterygium in pterygium excision 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Vipul Bhandari, Chandan Latha Rao, Sri Ganesh, Sheetal Brar Department of Cornea, Nethradhama Superspeciality Eye Hospital, Bangalore, India Purpose: To evaluate the efficacy of conjunctival autograft after the pterygium excision with fibrin adhesive using conjunctiva over the pterygium.Patients and methods: This prospective study included 25 eyes of 25 patients with a mean age of 40+-10 years, who underwent the pterygium excision with conjunctival autograft derived from the body of the pterygium and attached using fibrin glue. The mean follow-up period was 6 months. On all postoperative visits, changes in uncorrected visual acuity, corrected distance visual acuity, astigmatism, complications, and the evidence of recurrence were recorded.Results: At the end of mean follow-up, uncorrected visual acuity and corrected distance visual acuity improved by one or two lines in all eyes treated. Mean astigmatism reduced significantly from a preoperative value from 2.308D to 1.248D postoperatively (P<0.026). Minor postoperative complications such as congestion, chemosis, and subconjunctival hemorrhage were seen, which resolved with time. No major sight-threatening or graft-related complications were detected. There was no evidence of recurrence during a follow-up period of 6 months.Conclusion: Self-conjunctival autograft following the pterygium excision appears to be a feasible, safe, and effective alternative method for management of pterygium. It also preserves the superior conjunctiva for future surgeries. However, longer follow-up is required to study the long-term outcomes, especially the incidence of recurrence. Keywords: Pterygium, self-conjunctival graft, body, autograft conjunctival auto graft body Ophthalmology Rao CL verfasserin aut Ganesh S verfasserin aut Brar S verfasserin aut In Clinical Ophthalmology Dove Medical Press, 2009 (2015), Issue 1, Seite 2285-2290 (DE-627)560177089 (DE-600)2415713-2 11775483 nnns year:2015 number:Issue 1 pages:2285-2290 https://doaj.org/article/8e94a321527d4033a8a30a6ee3806b54 kostenfrei https://www.dovepress.com/visual-outcome-and-efficacy-of-conjunctival-autograft-harvested-from-t-peer-reviewed-article-OPTH kostenfrei https://doaj.org/toc/1177-5483 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2015 Issue 1 2285-2290
allfields_unstemmed	(DE-627)DOAJ076331059 (DE-599)DOAJ8e94a321527d4033a8a30a6ee3806b54 DE-627 ger DE-627 rakwb eng RE1-994 Bhandari V verfasserin aut Visual outcome and efficacy of conjunctival autograft, harvested from the body of pterygium in pterygium excision 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Vipul Bhandari, Chandan Latha Rao, Sri Ganesh, Sheetal Brar Department of Cornea, Nethradhama Superspeciality Eye Hospital, Bangalore, India Purpose: To evaluate the efficacy of conjunctival autograft after the pterygium excision with fibrin adhesive using conjunctiva over the pterygium.Patients and methods: This prospective study included 25 eyes of 25 patients with a mean age of 40+-10 years, who underwent the pterygium excision with conjunctival autograft derived from the body of the pterygium and attached using fibrin glue. The mean follow-up period was 6 months. On all postoperative visits, changes in uncorrected visual acuity, corrected distance visual acuity, astigmatism, complications, and the evidence of recurrence were recorded.Results: At the end of mean follow-up, uncorrected visual acuity and corrected distance visual acuity improved by one or two lines in all eyes treated. Mean astigmatism reduced significantly from a preoperative value from 2.308D to 1.248D postoperatively (P<0.026). Minor postoperative complications such as congestion, chemosis, and subconjunctival hemorrhage were seen, which resolved with time. No major sight-threatening or graft-related complications were detected. There was no evidence of recurrence during a follow-up period of 6 months.Conclusion: Self-conjunctival autograft following the pterygium excision appears to be a feasible, safe, and effective alternative method for management of pterygium. It also preserves the superior conjunctiva for future surgeries. However, longer follow-up is required to study the long-term outcomes, especially the incidence of recurrence. Keywords: Pterygium, self-conjunctival graft, body, autograft conjunctival auto graft body Ophthalmology Rao CL verfasserin aut Ganesh S verfasserin aut Brar S verfasserin aut In Clinical Ophthalmology Dove Medical Press, 2009 (2015), Issue 1, Seite 2285-2290 (DE-627)560177089 (DE-600)2415713-2 11775483 nnns year:2015 number:Issue 1 pages:2285-2290 https://doaj.org/article/8e94a321527d4033a8a30a6ee3806b54 kostenfrei https://www.dovepress.com/visual-outcome-and-efficacy-of-conjunctival-autograft-harvested-from-t-peer-reviewed-article-OPTH kostenfrei https://doaj.org/toc/1177-5483 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2015 Issue 1 2285-2290
allfieldsGer	(DE-627)DOAJ076331059 (DE-599)DOAJ8e94a321527d4033a8a30a6ee3806b54 DE-627 ger DE-627 rakwb eng RE1-994 Bhandari V verfasserin aut Visual outcome and efficacy of conjunctival autograft, harvested from the body of pterygium in pterygium excision 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Vipul Bhandari, Chandan Latha Rao, Sri Ganesh, Sheetal Brar Department of Cornea, Nethradhama Superspeciality Eye Hospital, Bangalore, India Purpose: To evaluate the efficacy of conjunctival autograft after the pterygium excision with fibrin adhesive using conjunctiva over the pterygium.Patients and methods: This prospective study included 25 eyes of 25 patients with a mean age of 40+-10 years, who underwent the pterygium excision with conjunctival autograft derived from the body of the pterygium and attached using fibrin glue. The mean follow-up period was 6 months. On all postoperative visits, changes in uncorrected visual acuity, corrected distance visual acuity, astigmatism, complications, and the evidence of recurrence were recorded.Results: At the end of mean follow-up, uncorrected visual acuity and corrected distance visual acuity improved by one or two lines in all eyes treated. Mean astigmatism reduced significantly from a preoperative value from 2.308D to 1.248D postoperatively (P<0.026). Minor postoperative complications such as congestion, chemosis, and subconjunctival hemorrhage were seen, which resolved with time. No major sight-threatening or graft-related complications were detected. There was no evidence of recurrence during a follow-up period of 6 months.Conclusion: Self-conjunctival autograft following the pterygium excision appears to be a feasible, safe, and effective alternative method for management of pterygium. It also preserves the superior conjunctiva for future surgeries. However, longer follow-up is required to study the long-term outcomes, especially the incidence of recurrence. Keywords: Pterygium, self-conjunctival graft, body, autograft conjunctival auto graft body Ophthalmology Rao CL verfasserin aut Ganesh S verfasserin aut Brar S verfasserin aut In Clinical Ophthalmology Dove Medical Press, 2009 (2015), Issue 1, Seite 2285-2290 (DE-627)560177089 (DE-600)2415713-2 11775483 nnns year:2015 number:Issue 1 pages:2285-2290 https://doaj.org/article/8e94a321527d4033a8a30a6ee3806b54 kostenfrei https://www.dovepress.com/visual-outcome-and-efficacy-of-conjunctival-autograft-harvested-from-t-peer-reviewed-article-OPTH kostenfrei https://doaj.org/toc/1177-5483 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2015 Issue 1 2285-2290
allfieldsSound	(DE-627)DOAJ076331059 (DE-599)DOAJ8e94a321527d4033a8a30a6ee3806b54 DE-627 ger DE-627 rakwb eng RE1-994 Bhandari V verfasserin aut Visual outcome and efficacy of conjunctival autograft, harvested from the body of pterygium in pterygium excision 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Vipul Bhandari, Chandan Latha Rao, Sri Ganesh, Sheetal Brar Department of Cornea, Nethradhama Superspeciality Eye Hospital, Bangalore, India Purpose: To evaluate the efficacy of conjunctival autograft after the pterygium excision with fibrin adhesive using conjunctiva over the pterygium.Patients and methods: This prospective study included 25 eyes of 25 patients with a mean age of 40+-10 years, who underwent the pterygium excision with conjunctival autograft derived from the body of the pterygium and attached using fibrin glue. The mean follow-up period was 6 months. On all postoperative visits, changes in uncorrected visual acuity, corrected distance visual acuity, astigmatism, complications, and the evidence of recurrence were recorded.Results: At the end of mean follow-up, uncorrected visual acuity and corrected distance visual acuity improved by one or two lines in all eyes treated. Mean astigmatism reduced significantly from a preoperative value from 2.308D to 1.248D postoperatively (P<0.026). Minor postoperative complications such as congestion, chemosis, and subconjunctival hemorrhage were seen, which resolved with time. No major sight-threatening or graft-related complications were detected. There was no evidence of recurrence during a follow-up period of 6 months.Conclusion: Self-conjunctival autograft following the pterygium excision appears to be a feasible, safe, and effective alternative method for management of pterygium. It also preserves the superior conjunctiva for future surgeries. However, longer follow-up is required to study the long-term outcomes, especially the incidence of recurrence. Keywords: Pterygium, self-conjunctival graft, body, autograft conjunctival auto graft body Ophthalmology Rao CL verfasserin aut Ganesh S verfasserin aut Brar S verfasserin aut In Clinical Ophthalmology Dove Medical Press, 2009 (2015), Issue 1, Seite 2285-2290 (DE-627)560177089 (DE-600)2415713-2 11775483 nnns year:2015 number:Issue 1 pages:2285-2290 https://doaj.org/article/8e94a321527d4033a8a30a6ee3806b54 kostenfrei https://www.dovepress.com/visual-outcome-and-efficacy-of-conjunctival-autograft-harvested-from-t-peer-reviewed-article-OPTH kostenfrei https://doaj.org/toc/1177-5483 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2015 Issue 1 2285-2290
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The mean follow-up period was 6 months. On all postoperative visits, changes in uncorrected visual acuity, corrected distance visual acuity, astigmatism, complications, and the evidence of recurrence were recorded.Results: At the end of mean follow-up, uncorrected visual acuity and corrected distance visual acuity improved by one or two lines in all eyes treated. Mean astigmatism reduced significantly from a preoperative value from 2.308D to 1.248D postoperatively (P&lt;0.026). Minor postoperative complications such as congestion, chemosis, and subconjunctival hemorrhage were seen, which resolved with time. No major sight-threatening or graft-related complications were detected. There was no evidence of recurrence during a follow-up period of 6 months.Conclusion: Self-conjunctival autograft following the pterygium excision appears to be a feasible, safe, and effective alternative method for management of pterygium. It also preserves the superior conjunctiva for future surgeries. However, longer follow-up is required to study the long-term outcomes, especially the incidence of recurrence. 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callnumber-first	R - Medicine
author	Bhandari V
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topic_title	RE1-994 Visual outcome and efficacy of conjunctival autograft, harvested from the body of pterygium in pterygium excision conjunctival auto graft body
topic	misc RE1-994 misc conjunctival auto graft misc body misc Ophthalmology
topic_unstemmed	misc RE1-994 misc conjunctival auto graft misc body misc Ophthalmology
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title	Visual outcome and efficacy of conjunctival autograft, harvested from the body of pterygium in pterygium excision
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title_full	Visual outcome and efficacy of conjunctival autograft, harvested from the body of pterygium in pterygium excision
author_sort	Bhandari V
journal	Clinical Ophthalmology
journalStr	Clinical Ophthalmology
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author_browse	Bhandari V Rao CL Ganesh S Brar S
class	RE1-994
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author-letter	Bhandari V
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title_sort	visual outcome and efficacy of conjunctival autograft, harvested from the body of pterygium in pterygium excision
callnumber	RE1-994
title_auth	Visual outcome and efficacy of conjunctival autograft, harvested from the body of pterygium in pterygium excision
abstract	Vipul Bhandari, Chandan Latha Rao, Sri Ganesh, Sheetal Brar Department of Cornea, Nethradhama Superspeciality Eye Hospital, Bangalore, India Purpose: To evaluate the efficacy of conjunctival autograft after the pterygium excision with fibrin adhesive using conjunctiva over the pterygium.Patients and methods: This prospective study included 25 eyes of 25 patients with a mean age of 40+-10 years, who underwent the pterygium excision with conjunctival autograft derived from the body of the pterygium and attached using fibrin glue. The mean follow-up period was 6 months. On all postoperative visits, changes in uncorrected visual acuity, corrected distance visual acuity, astigmatism, complications, and the evidence of recurrence were recorded.Results: At the end of mean follow-up, uncorrected visual acuity and corrected distance visual acuity improved by one or two lines in all eyes treated. Mean astigmatism reduced significantly from a preoperative value from 2.308D to 1.248D postoperatively (P<0.026). Minor postoperative complications such as congestion, chemosis, and subconjunctival hemorrhage were seen, which resolved with time. No major sight-threatening or graft-related complications were detected. There was no evidence of recurrence during a follow-up period of 6 months.Conclusion: Self-conjunctival autograft following the pterygium excision appears to be a feasible, safe, and effective alternative method for management of pterygium. It also preserves the superior conjunctiva for future surgeries. However, longer follow-up is required to study the long-term outcomes, especially the incidence of recurrence. Keywords: Pterygium, self-conjunctival graft, body, autograft
abstractGer	Vipul Bhandari, Chandan Latha Rao, Sri Ganesh, Sheetal Brar Department of Cornea, Nethradhama Superspeciality Eye Hospital, Bangalore, India Purpose: To evaluate the efficacy of conjunctival autograft after the pterygium excision with fibrin adhesive using conjunctiva over the pterygium.Patients and methods: This prospective study included 25 eyes of 25 patients with a mean age of 40+-10 years, who underwent the pterygium excision with conjunctival autograft derived from the body of the pterygium and attached using fibrin glue. The mean follow-up period was 6 months. On all postoperative visits, changes in uncorrected visual acuity, corrected distance visual acuity, astigmatism, complications, and the evidence of recurrence were recorded.Results: At the end of mean follow-up, uncorrected visual acuity and corrected distance visual acuity improved by one or two lines in all eyes treated. Mean astigmatism reduced significantly from a preoperative value from 2.308D to 1.248D postoperatively (P<0.026). Minor postoperative complications such as congestion, chemosis, and subconjunctival hemorrhage were seen, which resolved with time. No major sight-threatening or graft-related complications were detected. There was no evidence of recurrence during a follow-up period of 6 months.Conclusion: Self-conjunctival autograft following the pterygium excision appears to be a feasible, safe, and effective alternative method for management of pterygium. It also preserves the superior conjunctiva for future surgeries. However, longer follow-up is required to study the long-term outcomes, especially the incidence of recurrence. Keywords: Pterygium, self-conjunctival graft, body, autograft
abstract_unstemmed	Vipul Bhandari, Chandan Latha Rao, Sri Ganesh, Sheetal Brar Department of Cornea, Nethradhama Superspeciality Eye Hospital, Bangalore, India Purpose: To evaluate the efficacy of conjunctival autograft after the pterygium excision with fibrin adhesive using conjunctiva over the pterygium.Patients and methods: This prospective study included 25 eyes of 25 patients with a mean age of 40+-10 years, who underwent the pterygium excision with conjunctival autograft derived from the body of the pterygium and attached using fibrin glue. The mean follow-up period was 6 months. On all postoperative visits, changes in uncorrected visual acuity, corrected distance visual acuity, astigmatism, complications, and the evidence of recurrence were recorded.Results: At the end of mean follow-up, uncorrected visual acuity and corrected distance visual acuity improved by one or two lines in all eyes treated. Mean astigmatism reduced significantly from a preoperative value from 2.308D to 1.248D postoperatively (P<0.026). Minor postoperative complications such as congestion, chemosis, and subconjunctival hemorrhage were seen, which resolved with time. No major sight-threatening or graft-related complications were detected. There was no evidence of recurrence during a follow-up period of 6 months.Conclusion: Self-conjunctival autograft following the pterygium excision appears to be a feasible, safe, and effective alternative method for management of pterygium. It also preserves the superior conjunctiva for future surgeries. However, longer follow-up is required to study the long-term outcomes, especially the incidence of recurrence. Keywords: Pterygium, self-conjunctival graft, body, autograft
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title_short	Visual outcome and efficacy of conjunctival autograft, harvested from the body of pterygium in pterygium excision
url	https://doaj.org/article/8e94a321527d4033a8a30a6ee3806b54 https://www.dovepress.com/visual-outcome-and-efficacy-of-conjunctival-autograft-harvested-from-t-peer-reviewed-article-OPTH https://doaj.org/toc/1177-5483
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up_date	2024-07-03T19:53:59.398Z
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Visual outcome and efficacy of conjunctival autograft, harvested from the body of pterygium in pterygium excision

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