Efficacy and safety of limbal-conjunctival autografting with limbal fixation sutures after pterygium excision

摘要

Purpose: To evaluate the efficacy and safety of limbal-conjunctival autografting with limbal fixation sutures after pterygium excision. Methods: We retrospectively reviewed the records of 90 patients (103 eyes) who received limbal-conjunctival autografts with limbal fixation sutures after excision of the primary pterygium (82 eyes) and recurrent pterygium (21 eyes). Results: The study subjects comprised 41 male patients (47 eyes) and 49 female patients (56 eyes) with a mean age of 51.1 ± 10.5 years (range 32-77). The mean follow-up period was 18.9 ± 9.2 months (range 12-50). Among the 103 eyes, recurrence occurred in 2 eyes (1.9%) after 2 and 4 months, respectively. As complications, 1 case of conjunctival cyst and 2 cases of pseudopterygium at the donor site were reported. Conclusions: Limbal-conjunctival autografting with limbal fixation sutures appears to be an effective and safe method of reducing the recurrence rate after pterygium excision.