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Primary pterygium surgery using the inferior conjunctival transposition flap
1Department of Ophthalmology, School of Medicine, Wonkwang University, Iksan, Cheonbuk, South Korea.
Ophthalmic Surgery and Lasers
|July 23, 1998
Summary
A novel surgical technique, the inferior conjunctival transposition flap, shows promise for treating primary pterygium without additional therapies. This method effectively covers the surgical site and prevents recurrence in most patients.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Pterygium is a common ocular condition requiring effective surgical management.
- Current treatments often involve adjunctive therapies with varying success rates and potential complications.
Purpose of the Study:
- To evaluate the efficacy and safety of a new surgical technique, the inferior conjunctival transposition flap, for primary pterygium.
- To assess the recurrence rates and outcomes of this method without adjunctive therapy.
Main Methods:
- A surgical technique involving excision of the pterygium and transposition of an inferior conjunctival flap was performed.
- The flap was used to cover the bare sclera and donor site, acting as a barrier to pterygium regrowth.
- The procedure was applied to 54 eyes of 50 patients with primary pterygium.
Main Results:
- A low recurrence rate of 5.6% (3 out of 54 eyes) was observed during a mean follow-up of 20 months.
- Excellent anatomical and cosmetic results were achieved in the majority of patients.
- No serious complications were reported.
Conclusions:
- The inferior conjunctival transposition flap is an effective and safe surgical option for primary pterygium.
- This technique offers a promising alternative to traditional methods, potentially reducing recurrence and improving patient outcomes.