Authors : O J. Omotoye, I A Ajayi, K O Ajite
DOI : 10.18231/2581-5016.2018.0041
Volume : 4
Issue : 4
Year : 0
Page No : 159-162
Recurrence the most common complication following pterygium excision represents a significant surgical problem.
Purpose: To determine the prevalence of pterygium procedure and to find out various risk factors responsible for pterygium recurrence following the procedure.
Materials and Methods: A cross-sectional study of records of all patients that had pterygium surgery with 5-Flurouracil (5FU) and pterygium surgery with conjunctival autograft obtained from eye clinic and theatre register from January 2010 to July 2017. Information on demographic characteristics, diagnosis, laterality, pre and post-operative visual acuity, types of procedure done and presence of recurrence. Data obtained were recorded and analyzed using Statistical Package for Social Sciences (SPSS) version 25. Ethical approval was obtained from the institution’s ethical review committee.
Results: Forty three (43) patients had pterygium surgery during this period. This constituted (2.9%) of all ophthalmic surgeries done in this centre. There were 17(39.5%) males and 26 (60.5%) females. Recurrence following Pterygium procedure was slightly above a quarter of all the patients. The recurrence rate following conjunctival with autograft procedure was 2(10%) compared with 9(39.1%) with pterygium excision +5FU. Risk factors for Pterygium recurrence following the procedure were found to be significantly higher among in-door workers than out-door workers; excision +5FU than conjunctival autograft respectively.
Conclusion: Tthe modifiable risk factor identified for pterygium recurrence following pterygium surgery is safe and effective conjunctival autograft surgical technique. This should be meticulously approached in such a way as to minimize this post-operative complication.
Keywords: Pterygium, Procedure, Recurrence, Risk.