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Journal of Microbiology: Current Research | Volume 2

November 01-02, 2018 | London, UK

7

th

European

Clinical Microbiology Congress

4

th

International Conference on

Ophthalmology and Eye Disorder

Joint Event

&

Amniotic membrane plus conjunctival autograft for pterygia

Jose Bonifacio Barbosa Jr

Universidade Federal de Sao Paulo, Brazil

Purpose:

To compare amniotic membrane associated with

conjunctival autograft versus conjunctival autograft alone in the

treatment of recurrent pterygia.

Methods:

Patients with recurrent pterygia without

symblepharonwere randomly assigned to undertake pterygium

exicision followed by amniotic membrane associated with a

small conjunctival autograft (2x3mm) or conjunctival autograft

(approximately 5x8mm) alone. The patients were examined

after 1, 7, 30, 90, 180 and 360 days after the surgery. Recurrence

was considered as a fibrovascular ingrowth of 1.5 mm or more

beyond the limbus with conjunctival drag.

Results:

Fortyeyesof 38patientswithrecurrent pterygiumwere

included. Nineteen patients (50%) were female and nineteen

(50%) were male. The mean patients’ age was 46,8 years old

(range between 23 and 69 years old). Twenty one patients

underwent amniotic membrane associated with conjunctival

autograft and nineteen patients underwent conjunctival

autograft alone. All patients were treated by the same surgeon.

The follow up time was 12 months in 30 patients and 6 months

in 10 patients. Recurrence was diagnosed in 6 patients [4 in the

amniotic membrane group (21,5%) and 2 in the conjunctival

autograft group (9,52%)]. Complication (conjuntival granuloma)

was observed in one case after 14 days of the surgery.

Conclusions:

Ourresultsshowedthatboth,amnioticmembrane

associatedwithconjunctivalautograftandconjunctivalautograft

alone, presented low rate of recurrence and complications

and are good treatment options for recurrent pterygium.

Speaker Biography

Jose Bonifacio Barbosa Jr is currently working as an ophthalmology consultant in UDI

Hospital, Sao Paulo, Brazil. His research interests include cornea, refractive surgery

and ocular external diseases etc. He is serving as an editorial member and reviewer

in several international reputed journals. He is also a member of many international

affiliations. He has authored many research articles/books related to his research interest.

e:

bonioftalmo@hotmail.com

Jose Bonifacio Barbosa Jr, Clinical Microbiology and Eye 2018, Volume 2

DOI: 10.4066/2591-8036-C1-002