Low recurrence rate of anchored conjunctival rotation flap technique in pterygium surgery

Dong Ju Kim, Jimmy K. Lee, Roy S. Chuck, Choul Yong Park

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Background: To report the recurrence rate for an anchored conjunctival rotation flap technique in primary pterygium surgery. Methods: Primary pterygium surgeries performed using anchored conjunctival rotation flap techniques (110 eyes in 110 patients) with a minimum follow-up of 12 months were reviewed. In this technique, a conjunctival flap is rotated to cover the bare sclera and suture-fixated with either 8-0 polyglactin (41 eyes) or 10-0 nylon (69 eyes). The recurrence rate was determined, and the two suture materials utilized were compared. Results: The recurrence rate was 2.71% (3 cases in 110 eyes) when an anchored conjunctival rotation flap technique was used and patients were monitored for 26.40 ± 17.09 months. Interestingly, the recurrences were only observed in polyglactin-sutured eyes. No recurrence was detected in nylon-sutured eyes. No other complications were observed in either group. Conclusions: The anchored conjunctival rotation flap technique for pterygium surgery has a relatively low recurrence rate. Nylon suture-fixation of the flap was found to be superior to polyglactin suture-fixation in preventing recurrence.

Original languageEnglish (US)
Article number187
JournalBMC Ophthalmology
Volume17
Issue number1
DOIs
StatePublished - Oct 10 2017

Keywords

  • Anchored
  • Flap
  • Nylon
  • Polyglactin
  • Pterygium
  • Recurrence

ASJC Scopus subject areas

  • Ophthalmology

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