Artikel
Pterygium surgery: State of the art
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Autoren
-
Lawrie Hirst
- The Australian Pterygium Centre, Brisbane, Australien
| Veröffentlicht: | 27. April 2017 |
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Gliederung
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Purpose: To emphasize that a low recurrence rate is now no longer the only endpoint but that the cosmetic appearance of the eye should be close to normal.
Methods: P.E.R.F.E.C.T for PTERYGIUM® will be described and the prospective study of 1,000 patients will be discussed [1].
Results: There was one recurrence in 1000 patients and the cosmetic appearance was such that the operated eye could not be distinguished from the normal eye where only one eye had had surgery [2]. In a masked study using a grading system, nearly 95% of patients achieved an acceptable aesthetic result [3]. Only one patient lost any vision as a result of a corneal infection. The technique is demanding, requiring meticulous tissue plane dissections, and an assistant, and a peri-bulbar anaesthetic.
Conclusions: P.E.R.F.E.C.T for PTERYGIUM® offers an unsurpassed cosmetic result with almost zero recurrence rate but is lengthy and complex surgery.
References
- 1.
- Hirst LW. Recurrence and complications after 1,000 surgeries using pterygium extended removal followed by extended conjunctival transplant. Ophthalmology. 2012;119(11):2205-10.
- 2.
- Hirst LW. Pterygium extended removal followed by extended conjunctival transplant: but on which eye? Cornea. 2013;32(6):799-802.
- 3.
- Hirst LW. Cosmesis after pterygium extended removal followed by extended conjunctival transplant as assessed by a new, web-based grading system. Ophthalmology. 2011;118(9):1739-46.
