Indian Journal of Clinical and Experimental Ophthalmology

Print ISSN: 2395-1443

Online ISSN: 2395-1451

CODEN : IJCEKF

Indian Journal of Clinical and Experimental Ophthalmology (IJCEO) is open access, a peer-reviewed medical journal, published quarterly, online, and in print, by the Innovative Education and Scientific Research Foundation (IESRF) since 2015. To fulfil our aim of rapid dissemination of knowledge, we publish articles ‘Ahead of Print’ on acceptance. In addition, the journal allows free access (Open Access) to its content, which is likely to attract more readers and citations of articles published in IJCEO. Manuscripts must be prepared in more...

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Original Article


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103-108


Authors Details

Shweta Walia, Divya Khandelwal*, Neetu Kori, Vijay Bhaisare, Preeti Rawat, Manushree Gautam


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A clinical study to evaluate recurrence of pterygium after primary surgery and its management


Original Article

Author Details : Shweta Walia, Divya Khandelwal*, Neetu Kori, Vijay Bhaisare, Preeti Rawat, Manushree Gautam

Volume : 8, Issue : 1, Year : 2022

Article Page : 103-108

https://doi.org/10.18231/j.ijceo.2022.019



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Abstract

Background: Recurrence is a significant problem after pterygium excision. Therefore in this study its risk factors and management is discussed.
Aims: This study was conducted to observe recurrence after conjunctival limbal autograft (CLAU) & to evaluate different factors related with recurrence of pterygium and assessing its different management methods.
Materials and Methods: Hundred & seven patients with primary pterygium were examined, excised by CLAU and histopathology sample sent. The outcomes were assessed in terms of clinically significant recurrence till 6 months follow-up. Early topical mitomycin-C (MMC) 0.02% QID for a week was given to avoid resurgence of clinically significant pterygium, however if developed then excised by CLAU (if <4mm> 4mm).
Out of total cases, 57% were females. Histopathology findings includeEpithelial Hyperplasia (80.4%), vascularity overwhelms fibrosis (39.1%), vascularity similar to fibrosis (28.3%), fibrosis overwhelms vascularity (34.8%), perivascular stromal inflammation (54.3%), diffuse stromal inflammation (37.0%). The following variables were significantly associated (p<0> Conclusions: Factors such as younger age group, higher redness and thickness of pterygium, more vascularity, and diffuse inflammation on histopathological examination can be considered as a risk factor for recurrence. However, occupation, location, and type of pterygium were found not to be related to recurrence. Although no clinically significant recurrence was seen after mitomycin c eyedrops, but no significant correlation can be made.
Key Messages: Young patients having pre-operative features like red and fleshy pterygium, along with vascularity more than fibrosis and diffuse inflammation on histopathological examination should be followed strictly and managed intensely.
 

Keywords : Recurrence, Pterygium, Conjunctival limbal autograft, Histopathology, Mitomycin C.


How to cite : Walia S, Khandelwal D, Kori N, Bhaisare V, Rawat P, Gautam M, A clinical study to evaluate recurrence of pterygium after primary surgery and its management. Indian J Clin Exp Ophthalmol 2022;8(1):103-108

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