Document Detail


Comparison of pterygium recurrence rates in Hispanic and white patients after primary excision and conjunctival autograft.
MedLine Citation:
PMID:  19907286     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate the impact of Hispanic and white ethnicity on the recurrence rates of pterygia after primary excision and conjunctival autograft (CAG) in a southern California population. METHODS: A retrospective case-control review comparing 15 Hispanic and 11 white patients with primary nasal pterygia was performed. All participants received pterygium excision with superior limbal CAG by 1 of 3 surgeons and postoperative topical steroids for 2 months. The main outcome measure was recurrence after surgery, defined as fibrovascular tissue over the corneoscleral limbus onto clear cornea in the area of previous pterygium excision. RESULTS: Average duration of follow-up in the Hispanic and white groups were 9.3 +/- 9.8 months and 13.0 +/- 10.7 months, respectively (P = 0.39). During this follow-up period, there was a statistically significant difference in the pterygium recurrence rate between the Hispanic patients, 6 of 15 (40%), and the white patients, 0 of 11 (0%) (P = 0.02). The average time to recurrence was 3.4 +/- 1.1 months (range, 1.9-5.0). The difference in average age, male/female composition, and follow-up time between the Hispanic and white patient groups studied was not found to be statistically significant (P > 0.05). CONCLUSION: Hispanic ethnicity is a potentially important risk factor for recurrence of primary pterygia treated with CAG.
Authors:
Rom Kandavel; Joann J Kang; Farnaz Memarzadeh; Roy S Chuck
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Cornea     Volume:  29     ISSN:  1536-4798     ISO Abbreviation:  Cornea     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-27     Completed Date:  2010-04-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8216186     Medline TA:  Cornea     Country:  United States    
Other Details:
Languages:  eng     Pagination:  141-5     Citation Subset:  IM    
Affiliation:
University of California, Irvine, Colvard Eye Center, Encino, CA, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
California / epidemiology
Conjunctiva / transplantation*
European Continental Ancestry Group / ethnology*
Female
Follow-Up Studies
Hispanic Americans / ethnology*
Humans
Male
Middle Aged
Pterygium / ethnology*,  prevention & control,  surgery
Recurrence
Retrospective Studies
Risk Factors
Transplantation, Autologous
Grant Support
ID/Acronym/Agency:
EY00412-01A1/EY/NEI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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