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- Title
Management of double-head pterygium with conjunctival autograft and primary closure.
- Authors
Röck, Tobias; Bartz-Schmidt, Karl Ulrich; Röck, Daniel
- Abstract
Purpose: Double-headed pterygia are rare and present the surgeon with challenges. This case report illustrates the surgical management and the course of healing in a double-head pterygium patient. Case report: A 53-year-old man was referred to our eye hospital with a double-head pterygium of the right eye. During the follow-up examinations, 1 and 3 years later stable findings were found. Five years after initial referral we saw a progression of the double-head pterygium and the patient explained a worse visual acuity. The nasal and temporal pterygium was resected and conjunctival autograft transplantation, and a primary closure was performed, respectively, for the bulbar conjunctival reconstruction. After the surgery, a reduction in the inflammation and healing of the conjunctival lesion could be seen. At the 12-month follow-up, there was no sign of recurrence or any postoperative complication. Conclusion: A surgical excision combined with conjunctival autograft transplantation and primary closure in a one-time intervention seems to be effective and economical for the treatment of double-head pterygium.
- Subjects
PTERYGIUM; SURGICAL excision; VISUAL acuity; SURGICAL complications; OPERATIVE surgery; KIDNEY exchange; FILTERING surgery
- Publication
International Medical Case Reports Journal, 2020, Vol 13, p111
- ISSN
1179-142X
- Publication type
Article
- DOI
10.2147/IMCRJ.S203897