ABSTRACT Background: pterygium is a common disease that affect many people in the world especially in the tropics and in an equatorial zone between 30° north and south latitudes. Egypt is one of the highly affected contraries. The most important problem in treatment of pterygium is high recurrence rate. Aim: to compare conjunctival autograft and intraoperative mitomycin C to determine the best technique that can reduce the recurrence rate. Methodology: this prospective interventional study comprised 40 eyes of 40 patients with primary pterygium included from the outpatient clinics of the ophthalmology departments at Al-Zahraa University Hospital and The Italian Military Hospital over a period of 15 months (from March 2019 to May 2020). They were randomized into two groups according to the adjuvant used: (1) intraoperative 0.02% MMC for 3 minutes or (2) conjunctival autografting technique. Patients were followed for recurrence and complications for a period of 6 months. Results: 40 eyes of 40 patients their age ranged from 21 and 65 years in group (1) and between 27 and 60 years in group (2) with a male predominance of 30 cases (75%). There were 2 recurrences (10%) in MMC group and 1 recurrence (5%) in conjunctival autograft group. There was no statistically significant difference in the recurrence rate between the two groups. There were 2 cases of granuloma one case in each group and one case of partial graft dehiscence in group 2. Conclusion: Both conjunctival autograft and intraoperative mitomycin C techniques are effective treatment modalities for treatment of primary pterygium and for reduction of recurrence rate. There is no significant difference between both techniques as regards the recurrence rate.
Elshreef, O., Abdelwahab, A., & Abu Elaish, M. (2021). Comparison between conjunctival autograft and intraoperative mitomycin C in surgical treatment of pterygium according to the recurrence rate. Journal of Recent Advances in Medicine, 2(1), 104-111. doi: 10.21608/jram.2020.42975.1084
MLA
Omnia K. Elshreef; Adel M. Abdelwahab; Muhammad H. Abu Elaish. "Comparison between conjunctival autograft and intraoperative mitomycin C in surgical treatment of pterygium according to the recurrence rate". Journal of Recent Advances in Medicine, 2, 1, 2021, 104-111. doi: 10.21608/jram.2020.42975.1084
HARVARD
Elshreef, O., Abdelwahab, A., Abu Elaish, M. (2021). 'Comparison between conjunctival autograft and intraoperative mitomycin C in surgical treatment of pterygium according to the recurrence rate', Journal of Recent Advances in Medicine, 2(1), pp. 104-111. doi: 10.21608/jram.2020.42975.1084
VANCOUVER
Elshreef, O., Abdelwahab, A., Abu Elaish, M. Comparison between conjunctival autograft and intraoperative mitomycin C in surgical treatment of pterygium according to the recurrence rate. Journal of Recent Advances in Medicine, 2021; 2(1): 104-111. doi: 10.21608/jram.2020.42975.1084
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