Low recurrence rate of anchored conjunctival rotation flap technique in pterygium surgery

BMC Ophthalmology

Research Article

Jimmy K. Lee¹  Roy S. Chuck¹  Choul Yong Park²  Dong Ju Kim² 

[1] Department of Ophthalmology and Visual Sciences, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA;Department of Ophthalmology, Dongguk University, Ilsan Hospital, 814, Siksadong, Ilsan-dong-gu, 410-773, Goyang, Kyunggido, South Korea;

关键词: Pterygium;    Flap;    Anchored;    Recurrence;    Nylon;    Polyglactin;   

DOI  :  10.1186/s12886-017-0587-z

 received in 2016-12-06, accepted in 2017-10-03,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundTo report the recurrence rate for an anchored conjunctival rotation flap technique in primary pterygium surgery.MethodsPrimary pterygium surgeries performed using anchored conjunctival rotation flap techniques (110 eyes in 110 patients) with a minimum follow-up of 12 months were reviewed. In this technique, a conjunctival flap is rotated to cover the bare sclera and suture-fixated with either 8–0 polyglactin (41 eyes) or 10–0 nylon (69 eyes). The recurrence rate was determined, and the two suture materials utilized were compared.ResultsThe recurrence rate was 2.71% (3 cases in 110 eyes) when an anchored conjunctival rotation flap technique was used and patients were monitored for 26.40 ± 17.09 months. Interestingly, the recurrences were only observed in polyglactin-sutured eyes. No recurrence was detected in nylon-sutured eyes. No other complications were observed in either group.ConclusionsThe anchored conjunctival rotation flap technique for pterygium surgery has a relatively low recurrence rate. Nylon suture-fixation of the flap was found to be superior to polyglactin suture-fixation in preventing recurrence.

【 授权许可】

CC BY   
© The Author(s). 2017