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130874

Comparison Study between Intralesional Injection of MMC with Bare Sclera Excision of Pterygium and Conjunctiva Auto Grafting Technique

Article

Last updated: 04 Jan 2025

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Subjects

-

Tags

Ophthalmology

Abstract

Background: Pterygium is a fibrovascular tissue that abnormally invades the cornea from the conjunctiva.
Aim of the work: Comparison Bare sclera technique of pterygium excision immediately after injecting it with MMC and conjunctival autografting without using MMC regarding recurrence rate and other complications.
Methods: This prospective interventional study included 40 cases of pterygia from September 2017 to March 2019. cases were divided into two groups: Group 1 included 20 eyes received 0.1 ml [0.01%] of intrapterygial mitomycin-C [MMC] injection, then excision with bare scleral Group 2 included 20 eyes with simple excision then covering the bare sclera with a conjunctival autograft from superior bulbar conjunctiva.
Results: The mean age was 45.175 and 45.4 years in Group 1 and 2, respectively, [P = .527]. There were 7 [35%] males and 13 [65%] females in Group 1 and 8 [40%] males and 12 [60%] females in Group 2 [P = .744]. The regression rate was 5% in each Groups [P = 1]. Postoperatively, scleral hypo vascularity occurred in 5 eyes [25%] in Group 1 while never in Group 2 [P = .009]. Graft necrosis noticed in 2 cases [10%] in group 2.
Conclusion: Both techniques resulted in a negligible [5%] recurrence rate. Although conjunctival graft with a significant reduction of complications as scleral hypo vascularity but with more surgical time.

DOI

10.21608/ijma.2020.45799.1191

Keywords

Conjunctival Graft, Intrapterygial injection, mitomycin c, Pterygium

Authors

First Name

Sayed

Last Name

El-Sayed

MiddleName

Mostafa

Affiliation

Department of Ophthalmology, Faculty of Medicine, Al-Azhar University, Egypt

Email

sayed-subra@hotmail.com

City

Giza

Orcid

-

Volume

3

Article Issue

1

Related Issue

21557

Issue Date

2021-01-01

Receive Date

2020-10-10

Publish Date

2021-01-01

Page Start

1,145

Page End

1,151

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 1_Pages 1145-1151.pdf

PDF . 1.9MB

Link

https://ijma.journals.ekb.eg/article_130874.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=130874

Order

33

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Comparison Study between Intralesional Injection of MMC with Bare Sclera Excision of Pterygium and Conjunctiva Auto Grafting Technique

Details

Type

Article

Created At

22 Jan 2023