ISSN: 1300-0365
Dil: Türkçe
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Lameller Keratectomy, Peeling And Excimer Laser In Pterygium Therapy
Melih Ünal*, Tamer Fazıl YILDIZ**, Emrullah TAŞINDI***, Suphi Acar***, Yavuz Örge****
* Yrd.Doç.Dr., GATA Haydarpaşa Eğitim Hastanesi,** Uz.Öğr.Dr., Haydarpaşa Eğitim Hastanesi,*** Doç.Dr., Haydarpaşa Eğitim Hastanesi,**** Prof.Dr., Haydarpaşa Eğitim Hastanesi, İSTANBUL
In this study, between 1995 and 1997,125 primary and recurrent pterygium cases were divided into three groups randomly and lamellar keratectomy+bare sclera used in group I (20 primary,10 recurrent),peeling+bare sclera used in group II (52 primary, 18 recurrent) and peeling+bare sclera combined with excimer laser PTK technique used in group III (10 primary, 15 recurrent). Patients were followed up for an average of 11 months for recurrence rates and complications postoperatively. Postoperatively, recurrence rates in groups I,II and III were 45%, 11.6% and 0% in primary pterygiums and 66%, 22.2% and 6.6% in recurrent pterygiums respectively. The differences between three groups were statistically significant (p<0.05). The recurrences were accumulated in the first four months in group I, while in groups II and III after the fourth month. No complications were seen in group I except recurrences. In groups II and III, only tenon granulomas were seen in 17.1% and 8% rates respectively with low rate recurrences. As a result, in the pterygium surgery, separating the pterygium head from the cornea using peeling technique shortens the reepitelisation time so that it would lower the recurrence rate. Also peeling combined with excimer laser PTK provides the surgeon a controlled procedure, lowers the recurrence rates and has more advantages with respect to complications as compared to the other combined therapeutic modalities.Keywords: Pterygium, Keratectomy, Peeling,
Excimer laserTurkiye Klinikleri J Ophthalmol 1999, 8:157-162
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