TY - JOUR
T1 - Sequential pterygium excision with conjunctival autograft in the management of primary double-headed pterygia
AU - Yeung, Sonia N.
AU - Rubenstein, Darya
AU - Price, Aryeh J.
AU - Elbaz, Uri
AU - Zhang, Angela Q.
AU - Côté, Elie
AU - Slomovic, Allan R.
PY - 2013/12
Y1 - 2013/12
N2 - Objective: The purpose of this study was to evaluate the efficacy of sequential pterygium excision with conjunctival autograft (PECA) in the management of double-headed pterygia. Methods: All patients who underwent a sequential PECA procedure for double-headed pterygia from 2004 to 2009 were included in this retrospective, noncomparative, interventional case series. The recurrence rate and visual outcomes after this procedure were determined. Results: Nine eyes of 8 patients with doubled-headed pterygia undergoing sequential PECA were identified. Of 18 PECA procedures, 1 recurrence (5.56%) was found. The single recurrence was observed nasally in the right eye (first site operated) of a female patient 55 months after the second PECA procedure. None of the operated eyes lost any lines of corrected distance visual acuity, and 22% gained at least 1 line of corrected distance visual acuity. Conclusions: In this series, harvesting the conjunctival autograft from the same site several months later does not appear to increase the rate of recurrence. Sequential PECA is a safe and effective method of addressing double-headed pterygia.
AB - Objective: The purpose of this study was to evaluate the efficacy of sequential pterygium excision with conjunctival autograft (PECA) in the management of double-headed pterygia. Methods: All patients who underwent a sequential PECA procedure for double-headed pterygia from 2004 to 2009 were included in this retrospective, noncomparative, interventional case series. The recurrence rate and visual outcomes after this procedure were determined. Results: Nine eyes of 8 patients with doubled-headed pterygia undergoing sequential PECA were identified. Of 18 PECA procedures, 1 recurrence (5.56%) was found. The single recurrence was observed nasally in the right eye (first site operated) of a female patient 55 months after the second PECA procedure. None of the operated eyes lost any lines of corrected distance visual acuity, and 22% gained at least 1 line of corrected distance visual acuity. Conclusions: In this series, harvesting the conjunctival autograft from the same site several months later does not appear to increase the rate of recurrence. Sequential PECA is a safe and effective method of addressing double-headed pterygia.
UR - http://www.scopus.com/inward/record.url?scp=84896780192&partnerID=8YFLogxK
U2 - 10.1016/j.jcjo.2013.05.014
DO - 10.1016/j.jcjo.2013.05.014
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C2 - 24314415
AN - SCOPUS:84896780192
SN - 0008-4182
VL - 48
SP - 521
EP - 523
JO - Canadian Journal of Ophthalmology
JF - Canadian Journal of Ophthalmology
IS - 6
ER -