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Year : 2013  |  Volume : 106  |  Issue : 3  |  Page : 217-221

Temporarily attached conjunctival flap for primary pterygium surgery

Department of Ophthalmology, Mansoura University, Mansoura, Egypt

Correspondence Address:
Ayman A Ghafar
Department of Ophthalmology, Mansoura University, Mansoura
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2090-0686.127409

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Purpose The aim of the study was to evaluate the safety and outcomes of recurrent pterygium excision with a temporarily attached rotational conjunctival flap. Patients and methods In an interventional case series, consecutive patients with recurrent pterygium underwent surgical excision with temporary attachment of a rotational conjunctival flap onto bare sclera. Patients were followed up for 6-12 months and the results were evaluated in terms of recurrent pterygium growth and complications. Results Thirty eyes from 30 consecutive patients (19 male and 11 female) of a mean age of 43.3 ΁ 10.8 years were operated upon. The pterygia extended 4.6 ΁ 1.2 mm (range 3-6 mm) onto the corneas. Two eyes (6.6%) showed recurrent pterygium growth. One eye (3.3%) developed conjunctival granuloma, which eventually required excision, leading to complete resolution. Conclusion Pterygium excision with a temporarily attached rotational conjunctival flap is a safe, easy, and effective surgical technique in the management of recurrent pterygium and has a low recurrence rate.

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