Recurrent Pterygium Surgery Using Pterygium Extended Removal Followed by Extended Conjunctival Transplant: Recurrence Rate and Cosmesis
Received 22 October 2008; received in revised form 27 January 2009; accepted 28 January 2009.
Objective
To assess the rate of recurrence, complications, and cosmesis after recurrent pterygium removal with P.E.R.F.E.C.T. for PTERYGIUM (Pterygium Extended Removal Followed by Extended Conjunctival Transplant).
Design
A case series study of P.E.R.F.E.C.T. for PTERYGIUM was conducted by 1 surgeon with a 1-year follow-up to assess the recurrence, complication rate, and cosmesis.
Participants
A total of 111 consecutive patients with recurrent pterygium removals.
Intervention
A major modification of conjunctival autograft surgery was used to treat recurrent pterygia.
Main Outcome Measures
The recurrence rate, complications, and cosmesis after excision of recurrent pterygia using P.E.R.F.E.C.T. for PTERYGIUM.
Results
There were no patients with recurrence in 111 consecutive patients, and all but 2 patients were followed for at least 1 year. One patient developed an exotropia that required no treatment, and 1 patient lost 4 lines of vision as a result of a corneal ulcer.
Conclusions
In this series, P.E.R.F.E.C.T. for PTERYGIUM resulted in a zero recurrence rate (2 patients lost to follow-up) with few complications and a good cosmetic appearance.
Financial Disclosure(s)
Proprietary or commercial disclosure may be found after the references.
University of Queensland and Queensland Eye Institute
Correspondence: Lawrence Hirst, MD, MPH, Qld Eye Institute, 41 Annerley Road, South Brisbane, Australia 4101
Manuscript no. 2008-1251.
Financial Disclosure(s): The author owns the trademark “P.E.R.F.E.C.T. for PTERYGIUM” but does not own any patents or other intellectual property on the surgical method.
Supported by the Prevent Blindness Foundation through Viertels Vision, Brisbane.
ABSTRACT