The efficacy and safety of continuous blanket suture for severe recurrent pterygium with symblepharon
Background: Managing recurrent pterygium combined with symblepharon presents significant challenges in ophthalmology. Clinicians aim to reconstruct the ocular surface, alleviate eye movement restrictions, and minimize recurrence risks. Objective: Evaluation of efficacy and safety of continuous blank...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2024-11-01
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| Series: | Therapeutic Advances in Ophthalmology |
| Online Access: | https://doi.org/10.1177/25158414241294191 |
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| author | Huixiang Ma Jiahui Shen Xuhao Chen Xianfeng Ye Shuxia Xu Zongduan Zhang |
| author_facet | Huixiang Ma Jiahui Shen Xuhao Chen Xianfeng Ye Shuxia Xu Zongduan Zhang |
| author_sort | Huixiang Ma |
| collection | DOAJ |
| description | Background: Managing recurrent pterygium combined with symblepharon presents significant challenges in ophthalmology. Clinicians aim to reconstruct the ocular surface, alleviate eye movement restrictions, and minimize recurrence risks. Objective: Evaluation of efficacy and safety of continuous blanket sutures (CBS) for fixation of large autologous conjunctival grafts in patients with severe recurrent pterygium with symblepharon. Methods: Retrospective, observational case series. Thirty-nine patients (40 eyes) were included, all with severe recurrent pterygium with symblepharon. During surgery, CBS was employed to affix large autologous conjunctival grafts to the exposed sclera, aiming to restore the ocular surface to smoothness as much as possible. All patients were followed up for more than one year. Main outcome measures include the rate of recurrence, improvement of eye movement, and intraoperative and postoperative complications. Results: Nearly all patients exhibited a smooth ocular surface and largely restored physiological structures during the follow-up period. There were no graft loss or contraction cases until the last follow-up, with only three eyes experiencing a pterygium recurrence (recurrence rate 7.5%, 3/40). Preoperative eye movement limitations improved significantly from 2.10 ± 0.71 (range 1–3) to 0.33 ± 0.53 (range 0–2; p < 0.001) post-surgery. Other postoperative complications included varying degrees of corneal scarring and a single instance of conjunctival granulomatous hyperplasia (1 eye, 2.5%). Conclusion: When addressing severe recurrent pterygium with Symblepharon, using CBS to secure large autologous conjunctival grafts during surgery can achieve favorable postoperative outcomes. This surgical method is safe and feasible and effectively rebuilds a smooth ocular surface, improves the appearance of the ocular surface, and reduces the recurrence rate of pterygium after excision. |
| format | Article |
| id | doaj-art-1c3849ff850045039d3eb924aa752a32 |
| institution | Kabale University |
| issn | 2515-8414 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Therapeutic Advances in Ophthalmology |
| spelling | doaj-art-1c3849ff850045039d3eb924aa752a322024-11-11T18:03:25ZengSAGE PublishingTherapeutic Advances in Ophthalmology2515-84142024-11-011610.1177/25158414241294191The efficacy and safety of continuous blanket suture for severe recurrent pterygium with symblepharonHuixiang MaJiahui ShenXuhao ChenXianfeng YeShuxia XuZongduan ZhangBackground: Managing recurrent pterygium combined with symblepharon presents significant challenges in ophthalmology. Clinicians aim to reconstruct the ocular surface, alleviate eye movement restrictions, and minimize recurrence risks. Objective: Evaluation of efficacy and safety of continuous blanket sutures (CBS) for fixation of large autologous conjunctival grafts in patients with severe recurrent pterygium with symblepharon. Methods: Retrospective, observational case series. Thirty-nine patients (40 eyes) were included, all with severe recurrent pterygium with symblepharon. During surgery, CBS was employed to affix large autologous conjunctival grafts to the exposed sclera, aiming to restore the ocular surface to smoothness as much as possible. All patients were followed up for more than one year. Main outcome measures include the rate of recurrence, improvement of eye movement, and intraoperative and postoperative complications. Results: Nearly all patients exhibited a smooth ocular surface and largely restored physiological structures during the follow-up period. There were no graft loss or contraction cases until the last follow-up, with only three eyes experiencing a pterygium recurrence (recurrence rate 7.5%, 3/40). Preoperative eye movement limitations improved significantly from 2.10 ± 0.71 (range 1–3) to 0.33 ± 0.53 (range 0–2; p < 0.001) post-surgery. Other postoperative complications included varying degrees of corneal scarring and a single instance of conjunctival granulomatous hyperplasia (1 eye, 2.5%). Conclusion: When addressing severe recurrent pterygium with Symblepharon, using CBS to secure large autologous conjunctival grafts during surgery can achieve favorable postoperative outcomes. This surgical method is safe and feasible and effectively rebuilds a smooth ocular surface, improves the appearance of the ocular surface, and reduces the recurrence rate of pterygium after excision.https://doi.org/10.1177/25158414241294191 |
| spellingShingle | Huixiang Ma Jiahui Shen Xuhao Chen Xianfeng Ye Shuxia Xu Zongduan Zhang The efficacy and safety of continuous blanket suture for severe recurrent pterygium with symblepharon Therapeutic Advances in Ophthalmology |
| title | The efficacy and safety of continuous blanket suture for severe recurrent pterygium with symblepharon |
| title_full | The efficacy and safety of continuous blanket suture for severe recurrent pterygium with symblepharon |
| title_fullStr | The efficacy and safety of continuous blanket suture for severe recurrent pterygium with symblepharon |
| title_full_unstemmed | The efficacy and safety of continuous blanket suture for severe recurrent pterygium with symblepharon |
| title_short | The efficacy and safety of continuous blanket suture for severe recurrent pterygium with symblepharon |
| title_sort | efficacy and safety of continuous blanket suture for severe recurrent pterygium with symblepharon |
| url | https://doi.org/10.1177/25158414241294191 |
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