Bare sclera resection followed by mitomycin C and/or autograft limbus conjunctiva in the surgery for pterygium:a Meta-analysis
<b>AIM:</b>Toevaluate the recurrence andcomplicationsafter bare sclera resection (BSR) combined with mitomycin C (MMC) treatment and/or autograft limbus conjunctiva (ALC) in the surgery for pterygium.<b>METHODS:</b>Meta-analysis was used to evaluate the differences in patient...
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doaj-89e858cf6f794881a076788ef421295e2020-11-24T23:38:57ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982015-10-01851067107310.3980/j.issn.2222-3959.2015.05.37Bare sclera resection followed by mitomycin C and/or autograft limbus conjunctiva in the surgery for pterygium:a Meta-analysisTan Long0Zhi Li1Department of Ophthalmology, Xi''an No.1 Hospital, Xi''an 710002, Shaanxi Province, China<br>Department of Ophthalmology, Xiangyang Central Hospital, Xiangyang 441021, Hubei Province, China<b>AIM:</b>Toevaluate the recurrence andcomplicationsafter bare sclera resection (BSR) combined with mitomycin C (MMC) treatment and/or autograft limbus conjunctiva (ALC) in the surgery for pterygium.<b>METHODS:</b>Meta-analysis was used to evaluate the differences in patient outcomes between BSR of pterygium with or without MMC and/or ALC. All included studies were randomized trials of patients with pterygium who received BSR followed by MMC and/or ALC in the surgery. The recurrence of pterygium and other complications resulting from different treatments were extracted for analysis.<b>RESULTS</b>:Thirteen studies met the inclusion criteria. The recurrence of pterygium with intraoperative (IO) MMC was higher than that with ALC (OR=2.38,95% confidence interval 1.45-3.91, <i>I</i><sup>2</sup>=29%). Postoperative MMC resulted in an incidence of recurrence similar to that of ALC (OR=0.66, 95% confidence interval 0.30-1.42, <i>I</i><sup>2</sup>=0%), and IO MMC treatment in combination with ALC produced similar patient outcomes to ALC alone (OR=0.41, 95% confidence interval 0.16-1.01, <i>I</i><sup>2</sup>=16%). Other complications such as punctate epitheliopathy, scleral thinning and ischemia, irritation and persistent epithelium defect, were more common in patients in the MMC group as compared to those treated with ALC.<b>CONCLUSION:</b>The recurrence of pterygium with BSR followed by ALC is lower than that of BSR followed by MMC, and the incidence of other complications is lower. While ALC is a more effective strategy for treating pterygium, the quality of the ALC transplant should be considered when the patient has a history of glaucoma.http://www.ijo.cn/en_publish/2015/5/20150537.pdfpterygiummitomycin Cconjunctivaautograft |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Tan Long Zhi Li |
spellingShingle |
Tan Long Zhi Li Bare sclera resection followed by mitomycin C and/or autograft limbus conjunctiva in the surgery for pterygium:a Meta-analysis International Journal of Ophthalmology pterygium mitomycin C conjunctiva autograft |
author_facet |
Tan Long Zhi Li |
author_sort |
Tan Long |
title |
Bare sclera resection followed by mitomycin C and/or autograft limbus conjunctiva in the surgery for pterygium:a Meta-analysis |
title_short |
Bare sclera resection followed by mitomycin C and/or autograft limbus conjunctiva in the surgery for pterygium:a Meta-analysis |
title_full |
Bare sclera resection followed by mitomycin C and/or autograft limbus conjunctiva in the surgery for pterygium:a Meta-analysis |
title_fullStr |
Bare sclera resection followed by mitomycin C and/or autograft limbus conjunctiva in the surgery for pterygium:a Meta-analysis |
title_full_unstemmed |
Bare sclera resection followed by mitomycin C and/or autograft limbus conjunctiva in the surgery for pterygium:a Meta-analysis |
title_sort |
bare sclera resection followed by mitomycin c and/or autograft limbus conjunctiva in the surgery for pterygium:a meta-analysis |
publisher |
Press of International Journal of Ophthalmology (IJO PRESS) |
series |
International Journal of Ophthalmology |
issn |
2222-3959 2227-4898 |
publishDate |
2015-10-01 |
description |
<b>AIM:</b>Toevaluate the recurrence andcomplicationsafter bare sclera resection (BSR) combined with mitomycin C (MMC) treatment and/or autograft limbus conjunctiva (ALC) in the surgery for pterygium.<b>METHODS:</b>Meta-analysis was used to evaluate the differences in patient outcomes between BSR of pterygium with or without MMC and/or ALC. All included studies were randomized trials of patients with pterygium who received BSR followed by MMC and/or ALC in the surgery. The recurrence of pterygium and other complications resulting from different treatments were extracted for analysis.<b>RESULTS</b>:Thirteen studies met the inclusion criteria. The recurrence of pterygium with intraoperative (IO) MMC was higher than that with ALC (OR=2.38,95% confidence interval 1.45-3.91, <i>I</i><sup>2</sup>=29%). Postoperative MMC resulted in an incidence of recurrence similar to that of ALC (OR=0.66, 95% confidence interval 0.30-1.42, <i>I</i><sup>2</sup>=0%), and IO MMC treatment in combination with ALC produced similar patient outcomes to ALC alone (OR=0.41, 95% confidence interval 0.16-1.01, <i>I</i><sup>2</sup>=16%). Other complications such as punctate epitheliopathy, scleral thinning and ischemia, irritation and persistent epithelium defect, were more common in patients in the MMC group as compared to those treated with ALC.<b>CONCLUSION:</b>The recurrence of pterygium with BSR followed by ALC is lower than that of BSR followed by MMC, and the incidence of other complications is lower. While ALC is a more effective strategy for treating pterygium, the quality of the ALC transplant should be considered when the patient has a history of glaucoma. |
topic |
pterygium mitomycin C conjunctiva autograft |
url |
http://www.ijo.cn/en_publish/2015/5/20150537.pdf |
work_keys_str_mv |
AT tanlong barescleraresectionfollowedbymitomycincandorautograftlimbusconjunctivainthesurgeryforpterygiumametaanalysis AT zhili barescleraresectionfollowedbymitomycincandorautograftlimbusconjunctivainthesurgeryforpterygiumametaanalysis |
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