Amniotic Membrane Transplantation with Narrow-Strip Conjunctival Autograft vs Conjunctival Autograft for Recurrent Pterygia
Purpose To compare amniotic membrane transplantation (AMT) associated with narrow-strip conjunctival autograft vs conjunctival autograft alone for the treatment of recurrent pterygium. Methods In this prospective consecutive interventional study, patients with recurrent pterygium were randomly divid...
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| Veröffentlicht in: | European journal of ophthalmology 2017-03, Vol.27 (2), p.135-140 |
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| container_title | European journal of ophthalmology |
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| creator | Barbosa, José B. De Farias, Charles Costa Hirai, Flávio E. Pereira Gomes, José Á. |
| description | Purpose
To compare amniotic membrane transplantation (AMT) associated with narrow-strip conjunctival autograft vs conjunctival autograft alone for the treatment of recurrent pterygium.
Methods
In this prospective consecutive interventional study, patients with recurrent pterygium were randomly divided into one of 2 groups; group 1: patients undergoing AMT associated with autologous conjunctival graft; and group 2: patients undergoing conjunctival autograft alone.
Results
Of the 80 operated eyes included in this study, 39 (group 1, mean patient age 52.1 ± 11.7 SD years) underwent AMT associated with narrow-strip conjunctival autograft and 41 (group 2, mean patient age 45.8 ± 12.9 SD years) underwent conjunctival autograft alone. In group 1, 6 eyes (15.4%) had grade 1 pterygium, 19 eyes (48.7%) had grade 2 pterygium, and 14 eyes (35.9%) had grade 3 pterygium. In the second group, 5 eyes (12.2%) had grade 1 pterygium, 18 eyes (43.9%) had grade 2 pterygium, and 14 eyes (35.9%) had grade 3 pterygium. No statistically significant difference was found between the 2 groups (p = 0.752). Of the 39 eyes in group 1, recurrent pterygium was observed in 7 cases (17.9%). However, of the 41 eyes in group 2, recurrent pterygium was observed in only 4 cases (9.75%). No statistically significant difference was found between the 2 groups (p = 0.2684).
Conclusions
The results of this study indicate that conjunctival autograft alone might be a better surgical choice for the treatment of recurrent pterygia than combining it with AMT; however, this second option provides a good surgical alternative in cases where little conjunctival donor tissue is available. |
| doi_str_mv | 10.5301/ejo.5000773 |
| format | Article |
| fullrecord | <record><control><sourceid>sage_cross</sourceid><recordid>TN_cdi_crossref_primary_10_5301_ejo_5000773</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.5301_ejo.5000773</sage_id><sourcerecordid>10.5301_ejo.5000773</sourcerecordid><originalsourceid>FETCH-LOGICAL-c322t-68a18863426b52f2dbd9ba10bddf0db09a214a6d6538d443bfddfa372d5b5be03</originalsourceid><addsrcrecordid>eNp1kEtLAzEURoMotlZX7iVLQabmNZnpshRfUB9oXQ_JJFMzdJIhybQU_7wjra50c--F7_BxOQCcYzROKcLXunbjFCGUZfQADHFGWMIR5of9jQlKeEbwAJyEUCNE0ISRYzAgGUMpydkQfE4ba1w0JXzUjfTCarjoZ2hXwkYRjbNwY-IHfBLeu03yFr1p4czZurNlNGuxgtMuuqUXVYTr8F9SOQ9fddl5r22EL1H77dKIU3BUiVXQZ_s9Au-3N4vZfTJ_vnuYTedJSQmJCc8FznNOGeEyJRVRUk2kwEgqVSEl0UQQzARXPKW5YozKqg8EzYhKZSo1oiNwtestvQvB66povWmE3xYYFd8Ki15hsVfY0xc7uu1ko9Uv--OsBy53QBBLXdSu87b__s-uL3I4fOw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Amniotic Membrane Transplantation with Narrow-Strip Conjunctival Autograft vs Conjunctival Autograft for Recurrent Pterygia</title><source>MEDLINE</source><source>SAGE Complete A-Z List</source><creator>Barbosa, José B. ; De Farias, Charles Costa ; Hirai, Flávio E. ; Pereira Gomes, José Á.</creator><creatorcontrib>Barbosa, José B. ; De Farias, Charles Costa ; Hirai, Flávio E. ; Pereira Gomes, José Á.</creatorcontrib><description>Purpose
To compare amniotic membrane transplantation (AMT) associated with narrow-strip conjunctival autograft vs conjunctival autograft alone for the treatment of recurrent pterygium.
Methods
In this prospective consecutive interventional study, patients with recurrent pterygium were randomly divided into one of 2 groups; group 1: patients undergoing AMT associated with autologous conjunctival graft; and group 2: patients undergoing conjunctival autograft alone.
Results
Of the 80 operated eyes included in this study, 39 (group 1, mean patient age 52.1 ± 11.7 SD years) underwent AMT associated with narrow-strip conjunctival autograft and 41 (group 2, mean patient age 45.8 ± 12.9 SD years) underwent conjunctival autograft alone. In group 1, 6 eyes (15.4%) had grade 1 pterygium, 19 eyes (48.7%) had grade 2 pterygium, and 14 eyes (35.9%) had grade 3 pterygium. In the second group, 5 eyes (12.2%) had grade 1 pterygium, 18 eyes (43.9%) had grade 2 pterygium, and 14 eyes (35.9%) had grade 3 pterygium. No statistically significant difference was found between the 2 groups (p = 0.752). Of the 39 eyes in group 1, recurrent pterygium was observed in 7 cases (17.9%). However, of the 41 eyes in group 2, recurrent pterygium was observed in only 4 cases (9.75%). No statistically significant difference was found between the 2 groups (p = 0.2684).
Conclusions
The results of this study indicate that conjunctival autograft alone might be a better surgical choice for the treatment of recurrent pterygia than combining it with AMT; however, this second option provides a good surgical alternative in cases where little conjunctival donor tissue is available.</description><identifier>ISSN: 1120-6721</identifier><identifier>EISSN: 1724-6016</identifier><identifier>DOI: 10.5301/ejo.5000773</identifier><identifier>PMID: 27405284</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Aged ; Amnion - transplantation ; Autografts ; Conjunctiva - transplantation ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Prospective Studies ; Pterygium - surgery ; Recurrence ; Tissue Donors ; Treatment Outcome</subject><ispartof>European journal of ophthalmology, 2017-03, Vol.27 (2), p.135-140</ispartof><rights>2017 SAGE Publications</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c322t-68a18863426b52f2dbd9ba10bddf0db09a214a6d6538d443bfddfa372d5b5be03</citedby><cites>FETCH-LOGICAL-c322t-68a18863426b52f2dbd9ba10bddf0db09a214a6d6538d443bfddfa372d5b5be03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.5301/ejo.5000773$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.5301/ejo.5000773$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27405284$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barbosa, José B.</creatorcontrib><creatorcontrib>De Farias, Charles Costa</creatorcontrib><creatorcontrib>Hirai, Flávio E.</creatorcontrib><creatorcontrib>Pereira Gomes, José Á.</creatorcontrib><title>Amniotic Membrane Transplantation with Narrow-Strip Conjunctival Autograft vs Conjunctival Autograft for Recurrent Pterygia</title><title>European journal of ophthalmology</title><addtitle>Eur J Ophthalmol</addtitle><description>Purpose
To compare amniotic membrane transplantation (AMT) associated with narrow-strip conjunctival autograft vs conjunctival autograft alone for the treatment of recurrent pterygium.
Methods
In this prospective consecutive interventional study, patients with recurrent pterygium were randomly divided into one of 2 groups; group 1: patients undergoing AMT associated with autologous conjunctival graft; and group 2: patients undergoing conjunctival autograft alone.
Results
Of the 80 operated eyes included in this study, 39 (group 1, mean patient age 52.1 ± 11.7 SD years) underwent AMT associated with narrow-strip conjunctival autograft and 41 (group 2, mean patient age 45.8 ± 12.9 SD years) underwent conjunctival autograft alone. In group 1, 6 eyes (15.4%) had grade 1 pterygium, 19 eyes (48.7%) had grade 2 pterygium, and 14 eyes (35.9%) had grade 3 pterygium. In the second group, 5 eyes (12.2%) had grade 1 pterygium, 18 eyes (43.9%) had grade 2 pterygium, and 14 eyes (35.9%) had grade 3 pterygium. No statistically significant difference was found between the 2 groups (p = 0.752). Of the 39 eyes in group 1, recurrent pterygium was observed in 7 cases (17.9%). However, of the 41 eyes in group 2, recurrent pterygium was observed in only 4 cases (9.75%). No statistically significant difference was found between the 2 groups (p = 0.2684).
Conclusions
The results of this study indicate that conjunctival autograft alone might be a better surgical choice for the treatment of recurrent pterygia than combining it with AMT; however, this second option provides a good surgical alternative in cases where little conjunctival donor tissue is available.</description><subject>Adult</subject><subject>Aged</subject><subject>Amnion - transplantation</subject><subject>Autografts</subject><subject>Conjunctiva - transplantation</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Pterygium - surgery</subject><subject>Recurrence</subject><subject>Tissue Donors</subject><subject>Treatment Outcome</subject><issn>1120-6721</issn><issn>1724-6016</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEtLAzEURoMotlZX7iVLQabmNZnpshRfUB9oXQ_JJFMzdJIhybQU_7wjra50c--F7_BxOQCcYzROKcLXunbjFCGUZfQADHFGWMIR5of9jQlKeEbwAJyEUCNE0ISRYzAgGUMpydkQfE4ba1w0JXzUjfTCarjoZ2hXwkYRjbNwY-IHfBLeu03yFr1p4czZurNlNGuxgtMuuqUXVYTr8F9SOQ9fddl5r22EL1H77dKIU3BUiVXQZ_s9Au-3N4vZfTJ_vnuYTedJSQmJCc8FznNOGeEyJRVRUk2kwEgqVSEl0UQQzARXPKW5YozKqg8EzYhKZSo1oiNwtestvQvB66povWmE3xYYFd8Ki15hsVfY0xc7uu1ko9Uv--OsBy53QBBLXdSu87b__s-uL3I4fOw</recordid><startdate>20170301</startdate><enddate>20170301</enddate><creator>Barbosa, José B.</creator><creator>De Farias, Charles Costa</creator><creator>Hirai, Flávio E.</creator><creator>Pereira Gomes, José Á.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20170301</creationdate><title>Amniotic Membrane Transplantation with Narrow-Strip Conjunctival Autograft vs Conjunctival Autograft for Recurrent Pterygia</title><author>Barbosa, José B. ; De Farias, Charles Costa ; Hirai, Flávio E. ; Pereira Gomes, José Á.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c322t-68a18863426b52f2dbd9ba10bddf0db09a214a6d6538d443bfddfa372d5b5be03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Amnion - transplantation</topic><topic>Autografts</topic><topic>Conjunctiva - transplantation</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Pterygium - surgery</topic><topic>Recurrence</topic><topic>Tissue Donors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Barbosa, José B.</creatorcontrib><creatorcontrib>De Farias, Charles Costa</creatorcontrib><creatorcontrib>Hirai, Flávio E.</creatorcontrib><creatorcontrib>Pereira Gomes, José Á.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>European journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Barbosa, José B.</au><au>De Farias, Charles Costa</au><au>Hirai, Flávio E.</au><au>Pereira Gomes, José Á.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Amniotic Membrane Transplantation with Narrow-Strip Conjunctival Autograft vs Conjunctival Autograft for Recurrent Pterygia</atitle><jtitle>European journal of ophthalmology</jtitle><addtitle>Eur J Ophthalmol</addtitle><date>2017-03-01</date><risdate>2017</risdate><volume>27</volume><issue>2</issue><spage>135</spage><epage>140</epage><pages>135-140</pages><issn>1120-6721</issn><eissn>1724-6016</eissn><abstract>Purpose
To compare amniotic membrane transplantation (AMT) associated with narrow-strip conjunctival autograft vs conjunctival autograft alone for the treatment of recurrent pterygium.
Methods
In this prospective consecutive interventional study, patients with recurrent pterygium were randomly divided into one of 2 groups; group 1: patients undergoing AMT associated with autologous conjunctival graft; and group 2: patients undergoing conjunctival autograft alone.
Results
Of the 80 operated eyes included in this study, 39 (group 1, mean patient age 52.1 ± 11.7 SD years) underwent AMT associated with narrow-strip conjunctival autograft and 41 (group 2, mean patient age 45.8 ± 12.9 SD years) underwent conjunctival autograft alone. In group 1, 6 eyes (15.4%) had grade 1 pterygium, 19 eyes (48.7%) had grade 2 pterygium, and 14 eyes (35.9%) had grade 3 pterygium. In the second group, 5 eyes (12.2%) had grade 1 pterygium, 18 eyes (43.9%) had grade 2 pterygium, and 14 eyes (35.9%) had grade 3 pterygium. No statistically significant difference was found between the 2 groups (p = 0.752). Of the 39 eyes in group 1, recurrent pterygium was observed in 7 cases (17.9%). However, of the 41 eyes in group 2, recurrent pterygium was observed in only 4 cases (9.75%). No statistically significant difference was found between the 2 groups (p = 0.2684).
Conclusions
The results of this study indicate that conjunctival autograft alone might be a better surgical choice for the treatment of recurrent pterygia than combining it with AMT; however, this second option provides a good surgical alternative in cases where little conjunctival donor tissue is available.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>27405284</pmid><doi>10.5301/ejo.5000773</doi><tpages>6</tpages></addata></record> |
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| ispartof | European journal of ophthalmology, 2017-03, Vol.27 (2), p.135-140 |
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| language | eng |
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| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Adult Aged Amnion - transplantation Autografts Conjunctiva - transplantation Female Follow-Up Studies Humans Male Middle Aged Prospective Studies Pterygium - surgery Recurrence Tissue Donors Treatment Outcome |
| title | Amniotic Membrane Transplantation with Narrow-Strip Conjunctival Autograft vs Conjunctival Autograft for Recurrent Pterygia |
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