Mustafa DOĞAN, Elif ERTAN, Anar Alızada ALIZADA

Primer ve Reküren Pterijiumlu Hastalarda Konjonktivolimbal Otogreft Tekniği Sonuçlarımız

Amaç: Bu çalışmada primer ve reküren pterijiumda konjonktivolimbal otogreft cerrahisinin sonuçlarınıdeğerlendirmeyi amaçladık.Gereç ve Yöntemler: Ocak 2012—Aralık 2016 döneminde Afyon Kocatepe Üniversitesi HastanesiGöz Kliniği’nde primer ve reküren pterijium nedeniyle konjonktivolimbal otogreft cerrahisiyapılan hastalar retrospektif olarak değerlendirildi.Bulgular: Çalışmaya toplam 130 hasta dahil edildi; 18 hastanın 19 gözünde reküren pterijium,112 hastanın 131 gözünde primer pterijium vardı. Ameliyat edilen hastaların 66’sı kadın, 64’üerkekti. Hastaların yaş ortalaması 62,60±1,16 (25–89) yıl idi. Ameliyat sonrası takiplerde 5 (%3,3)gözde sütüre bağlı enflamasyon, 1 (%0,66) gözde dellen, 6 (%3,9) gözde nüks saptandı. Bunlardışında hiçbir komplikasyona rastlanmadı.Tartışma ve Sonuç: Primer ve reküren pterijium tedavisinde, konjonktivolimbal otogreft transplantasyonudüşük nüks oranlarına sahip, etkili ve güvenilir bir yöntemdir.Anahtar Sözcükler: pterijium; konjonktivolimbal otogreft; reküren pterijiumAbstract

Our Conjunctivolimbal Autograft Technique Results in Patients with Primary and Recurrent Pterygium

Aim: In this study, we aimed to evaluate the results of conjunctivolimbal autograft surgery in patients with primary and recurrent pterygium. Materials and Methods: Patients who underwent conjunctivolimbal autograft surgery for primary and recurrent pterygium at Ophthalmology Department of Afyon Kocatepe University Hospital between January 2012 and December 2016 were evaluated retrospectively. Results: A total of 130 patients were included. The pterygium was recurrent in 19 eyes of 18 patients while primary in 131 eyes of 112 patients. Of the patients operated, 64 were male and 66 female. The mean patient age was 62.60±1.16 (25–89) years. During the postoperative follow-up, suture-related inflammation was observed in 5 eyes (3.3%), dellen in 1 eye (0.66%) and pterygium recurrence in 6 eyes (3.9%). No other complication was observed. Discussion and Conclusion: Conjunctivolimbal autograft transplantation is an effective and safe method with low recurrence rates in treatment of primary and recurrent pterygium.

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