Removal of Tenon fortified by conjunctival-limbal autograft in treatment of pterygium
Purpose To describe a simple and effective technique for the prevention of pterygium recurrence. Methods This is a retrospective consecutive single-center case series with recurrence rate as the main outcome measure. Dissection of the conjunctiva, the Tenon’s layer, and the sclera was continued up t...
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| Veröffentlicht in: | International ophthalmology 2017-08, Vol.37 (4), p.813-818 |
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| creator | Ciftci, Suleyman Dogan, Eyup Dag, Umut Ciftci, Leyla |
| description | Purpose
To describe a simple and effective technique for the prevention of pterygium recurrence.
Methods
This is a retrospective consecutive single-center case series with recurrence rate as the main outcome measure. Dissection of the conjunctiva, the Tenon’s layer, and the sclera was continued up to the insertion of medial rectus. The exposed Tenon’s layer was excised for 2 to 3 mm. The entire free edges of the conjunctiva was tacked firmly to the sclera. The conjunctival-limbal graft was sutured firmly to the sclera, recipient limbus, and to the conjunctiva incorporating the reciprocal edges.
Results
We report findings in a total of 36 patients, with 20 (%55.5) males and 16 (%44.4) females. Median age of the patients was 44.5 years (range 16–80). The mean follow-up period was 23.1 ± 6.5 months. The mean size of pterygium in mm length was 3.8 ± 0.7. Recurrence did not occur in any patient. Diplopia was not reported by any patients.
Conclusions
Conjunctival-limbal autograft combining with selective exicison of Tenon’s layer but without damage to any essential tissue such as the semilunar fold or Tenon’s capsule pulley is a relatively simple and effective procedure. |
| doi_str_mv | 10.1007/s10792-016-0341-1 |
| format | Article |
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To describe a simple and effective technique for the prevention of pterygium recurrence.
Methods
This is a retrospective consecutive single-center case series with recurrence rate as the main outcome measure. Dissection of the conjunctiva, the Tenon’s layer, and the sclera was continued up to the insertion of medial rectus. The exposed Tenon’s layer was excised for 2 to 3 mm. The entire free edges of the conjunctiva was tacked firmly to the sclera. The conjunctival-limbal graft was sutured firmly to the sclera, recipient limbus, and to the conjunctiva incorporating the reciprocal edges.
Results
We report findings in a total of 36 patients, with 20 (%55.5) males and 16 (%44.4) females. Median age of the patients was 44.5 years (range 16–80). The mean follow-up period was 23.1 ± 6.5 months. The mean size of pterygium in mm length was 3.8 ± 0.7. Recurrence did not occur in any patient. Diplopia was not reported by any patients.
Conclusions
Conjunctival-limbal autograft combining with selective exicison of Tenon’s layer but without damage to any essential tissue such as the semilunar fold or Tenon’s capsule pulley is a relatively simple and effective procedure.</description><identifier>ISSN: 0165-5701</identifier><identifier>EISSN: 1573-2630</identifier><identifier>DOI: 10.1007/s10792-016-0341-1</identifier><identifier>PMID: 27612482</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Autografts ; Conjunctiva ; Conjunctiva - transplantation ; Corneal Transplantation - methods ; Dissection ; Female ; Females ; Follow-Up Studies ; Humans ; Limbus Corneae - surgery ; Male ; Males ; Medicine ; Medicine & Public Health ; Middle Aged ; Ophthalmologic Surgical Procedures - methods ; Ophthalmology ; Original Paper ; Patients ; Pterygium - surgery ; Recurrence ; Retrospective Studies ; Secondary Prevention - methods ; Tenon Capsule - surgery ; Treatment Outcome ; Young Adult</subject><ispartof>International ophthalmology, 2017-08, Vol.37 (4), p.813-818</ispartof><rights>Springer Science+Business Media Dordrecht 2016</rights><rights>International Ophthalmology is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-ed8c6da5b55260702ee6c1197374d219cfc06389b6401491a9947960faa9e45c3</citedby><cites>FETCH-LOGICAL-c372t-ed8c6da5b55260702ee6c1197374d219cfc06389b6401491a9947960faa9e45c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10792-016-0341-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10792-016-0341-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27612482$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ciftci, Suleyman</creatorcontrib><creatorcontrib>Dogan, Eyup</creatorcontrib><creatorcontrib>Dag, Umut</creatorcontrib><creatorcontrib>Ciftci, Leyla</creatorcontrib><title>Removal of Tenon fortified by conjunctival-limbal autograft in treatment of pterygium</title><title>International ophthalmology</title><addtitle>Int Ophthalmol</addtitle><addtitle>Int Ophthalmol</addtitle><description>Purpose
To describe a simple and effective technique for the prevention of pterygium recurrence.
Methods
This is a retrospective consecutive single-center case series with recurrence rate as the main outcome measure. Dissection of the conjunctiva, the Tenon’s layer, and the sclera was continued up to the insertion of medial rectus. The exposed Tenon’s layer was excised for 2 to 3 mm. The entire free edges of the conjunctiva was tacked firmly to the sclera. The conjunctival-limbal graft was sutured firmly to the sclera, recipient limbus, and to the conjunctiva incorporating the reciprocal edges.
Results
We report findings in a total of 36 patients, with 20 (%55.5) males and 16 (%44.4) females. Median age of the patients was 44.5 years (range 16–80). The mean follow-up period was 23.1 ± 6.5 months. The mean size of pterygium in mm length was 3.8 ± 0.7. Recurrence did not occur in any patient. Diplopia was not reported by any patients.
Conclusions
Conjunctival-limbal autograft combining with selective exicison of Tenon’s layer but without damage to any essential tissue such as the semilunar fold or Tenon’s capsule pulley is a relatively simple and effective procedure.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Autografts</subject><subject>Conjunctiva</subject><subject>Conjunctiva - transplantation</subject><subject>Corneal Transplantation - methods</subject><subject>Dissection</subject><subject>Female</subject><subject>Females</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Limbus Corneae - surgery</subject><subject>Male</subject><subject>Males</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Ophthalmologic Surgical Procedures - methods</subject><subject>Ophthalmology</subject><subject>Original Paper</subject><subject>Patients</subject><subject>Pterygium - surgery</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Secondary Prevention - methods</subject><subject>Tenon Capsule - surgery</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0165-5701</issn><issn>1573-2630</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kE1r3DAQhkVpaDab_oBeiqGXXtTOyPqwjiWkSSFQKMlZyLK8eLGlrSQX9t9Xy6YlFHoYdJhn3hk9hLxD-IQA6nNGUJpRQEmh5UjxFdmgUC1lsoXXZFMbggoFeEmuct4DgFZaviGXTElkvGMb8vTDL_GXnZs4No8-xNCMMZVpnPzQ9MfGxbBfgytTReg8LX0l7VriLtmxNFNoSvK2LD6UU8Ch-HTcTetyTS5GO2f_9vndkqevt4839_Th-923my8P1LWKFeqHzsnBil4IJkEB8146RK1axQeG2o0OZNvpXnJArtFqzesHYLRWey5cuyUfz7mHFH-uPhezTNn5ebbBxzUb7IRWrOW1tuTDP-g-rinU6wxqBiA4dl2l8Ey5FHNOfjSHNC02HQ2COTk3Z-emqjUn5wbrzPvn5LVf_PB34o_kCrAzkGsr7Hx6sfq_qb8B2gyLOA</recordid><startdate>20170801</startdate><enddate>20170801</enddate><creator>Ciftci, Suleyman</creator><creator>Dogan, Eyup</creator><creator>Dag, Umut</creator><creator>Ciftci, Leyla</creator><general>Springer Netherlands</general><general>Springer Nature B.V</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><scope>3V.</scope><scope>7QL</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20170801</creationdate><title>Removal of Tenon fortified by conjunctival-limbal autograft in treatment of pterygium</title><author>Ciftci, Suleyman ; Dogan, Eyup ; Dag, Umut ; Ciftci, Leyla</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-ed8c6da5b55260702ee6c1197374d219cfc06389b6401491a9947960faa9e45c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Autografts</topic><topic>Conjunctiva</topic><topic>Conjunctiva - transplantation</topic><topic>Corneal Transplantation - methods</topic><topic>Dissection</topic><topic>Female</topic><topic>Females</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Limbus Corneae - surgery</topic><topic>Male</topic><topic>Males</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Ophthalmologic Surgical Procedures - methods</topic><topic>Ophthalmology</topic><topic>Original Paper</topic><topic>Patients</topic><topic>Pterygium - surgery</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>Secondary Prevention - methods</topic><topic>Tenon Capsule - surgery</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ciftci, Suleyman</creatorcontrib><creatorcontrib>Dogan, Eyup</creatorcontrib><creatorcontrib>Dag, Umut</creatorcontrib><creatorcontrib>Ciftci, Leyla</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ciftci, Suleyman</au><au>Dogan, Eyup</au><au>Dag, Umut</au><au>Ciftci, Leyla</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Removal of Tenon fortified by conjunctival-limbal autograft in treatment of pterygium</atitle><jtitle>International ophthalmology</jtitle><stitle>Int Ophthalmol</stitle><addtitle>Int Ophthalmol</addtitle><date>2017-08-01</date><risdate>2017</risdate><volume>37</volume><issue>4</issue><spage>813</spage><epage>818</epage><pages>813-818</pages><issn>0165-5701</issn><eissn>1573-2630</eissn><abstract>Purpose
To describe a simple and effective technique for the prevention of pterygium recurrence.
Methods
This is a retrospective consecutive single-center case series with recurrence rate as the main outcome measure. Dissection of the conjunctiva, the Tenon’s layer, and the sclera was continued up to the insertion of medial rectus. The exposed Tenon’s layer was excised for 2 to 3 mm. The entire free edges of the conjunctiva was tacked firmly to the sclera. The conjunctival-limbal graft was sutured firmly to the sclera, recipient limbus, and to the conjunctiva incorporating the reciprocal edges.
Results
We report findings in a total of 36 patients, with 20 (%55.5) males and 16 (%44.4) females. Median age of the patients was 44.5 years (range 16–80). The mean follow-up period was 23.1 ± 6.5 months. The mean size of pterygium in mm length was 3.8 ± 0.7. Recurrence did not occur in any patient. Diplopia was not reported by any patients.
Conclusions
Conjunctival-limbal autograft combining with selective exicison of Tenon’s layer but without damage to any essential tissue such as the semilunar fold or Tenon’s capsule pulley is a relatively simple and effective procedure.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>27612482</pmid><doi>10.1007/s10792-016-0341-1</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0165-5701 |
| ispartof | International ophthalmology, 2017-08, Vol.37 (4), p.813-818 |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adolescent Adult Aged Aged, 80 and over Autografts Conjunctiva Conjunctiva - transplantation Corneal Transplantation - methods Dissection Female Females Follow-Up Studies Humans Limbus Corneae - surgery Male Males Medicine Medicine & Public Health Middle Aged Ophthalmologic Surgical Procedures - methods Ophthalmology Original Paper Patients Pterygium - surgery Recurrence Retrospective Studies Secondary Prevention - methods Tenon Capsule - surgery Treatment Outcome Young Adult |
| title | Removal of Tenon fortified by conjunctival-limbal autograft in treatment of pterygium |
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