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Simultaneous pterygium and cataract surgery.

A Gulani1, Y K Dastur

  • 1Dept of Ophthalmology, KEM Hospital, Parel, Bombay.

Journal of Postgraduate Medicine
|January 1, 1995
PubMed
Summary
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This study combined pterygium excision and cataract extraction, finding 63% visual recovery but a 40% pterygium recurrence rate. The combined surgery showed no complications for cataract removal.

Area of Science:

  • Ophthalmology
  • Surgical Procedures
  • Ocular Surface Disease

Background:

  • Pterygium and cataract are highly prevalent conditions.
  • Simultaneous surgical intervention for both conditions is desirable to improve patient outcomes and reduce healthcare burden.

Purpose of the Study:

  • To evaluate the efficacy and safety of a combined pterygium excision and cataract extraction procedure.
  • To assess visual recovery and pterygium recurrence rates following the combined surgery.

Main Methods:

  • Thirty patients with co-existing pterygium and cataract underwent simultaneous pterygium excision and cataract extraction.
  • Intra-operative beta radiation (500 rads) was applied to the pterygium site.
  • Post-operative topical betamethasone (0.1%) was administered for three months, with a six-month follow-up.

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Main Results:

  • Nineteen patients (63%) achieved visual recovery to 6/12 or better.
  • Twelve out of 30 patients (40%) experienced pterygium recurrence.
  • No surgical complications were observed following cataract removal.

Conclusions:

  • The combined pterygium excision and cataract extraction is a viable procedure with good visual recovery.
  • Pterygium recurrence remains a significant concern, necessitating further investigation into preventative strategies.
  • The combined approach does not appear to increase cataract surgery-related complications.