Vertical Split Conjunctival Autograft in Double-head Pterygia

NCT03507283 — Completed, 15 participants, Benha University

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Outcomes of Vertical Split Conjunctival Autograft Using Fibrin Glue in Treatment of Primary Double-head Pterygia

RegistryNCT03507283
StatusCompleted
Study typeObservational
Enrollment15 (Actual)
SponsorBenha University (Other)
ConditionsPterygium of Conjunctiva and Cornea
InterventionsDouble head pterygia excision and repair (Procedure)
Datesstart 2011-04-01, primary completion 2016-04-01, completion 2016-08-01, first posted 2018-04-25, last updated 2018-04-26

Related Papers Related Patents Related Grants Related Experts
All trials for Pterygium of Conjunctiva and Cornea All trials of Double head pterygia excision and repair

-Summary

15 eyes of 15 patients with primary double-headed pterygia that underwent vertical split conjunctival autograft pterygium surgery were retrospectively reviewed. All patients had primary double-headed pterygia. Recurrence was defined as fibrovascular proliferation over the limbus onto the cornea.

Vertical split conjunctival autograft using fibrin glue is an effective technique with good cosmetic results and low to no recurrence for primary double head pterygia treatment.

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+Detailed description

The pterygium body was dissected from the sclera. Complete excision of the pterygium, subconjunctival Tenon's tissue and surrounding fibrovascular tissues followed.The conjunctival edge was trimmed. The corneal surface was gently scraped with a scalpel. The Same procedure was done on temporal pterygia. A free conjunctival autograft was obtained. The graft was divided vertically into two parts. The nasal part of the graft was cut from limbal attachment including limbal tissue; temporal part was left attached. The nasal part of the graft was moved to the nasal conjunctival defect and attached to the sclera with fibrin sealant (Tisseel; Baxter, Vienna, Austria). The Same procedure was done with the temporal part of the graft. The orientation of graft was ensured before securing it.

+Arms and interventions

  • Double head pterygia excision and repair (Procedure): Complete excision of the pterygia was done. A free conjunctival autograft was obtained. The graft was divided vertically into two parts then secured into conjunctival defects.

+Outcome measures

Primary outcomes

  • The recurrence rate [1 year]: fibrovascular tissue invading the cornea and expressed as a percentage

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* Primary double-headed pterygia

Exclusion Criteria:

* NONE

+Publications

  • Results publication: Elhamaky TR, Elbarky AM. Outcomes of Vertical Split Conjunctival Autograft Using Fibrin Glue in Treatment of Primary Double-Headed Pterygia. J Ophthalmol. 2018 Dec 20;2018:9341846. doi: 10.1155/2018/9341846. eCollection 2018. PMID 30671262