Document Detail


Results of pterygium excision with Sr 90 irradiation, lamellar keratoplasty and conjunctival flaps.
MedLine Citation:
PMID:  3322749     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The results of pterygium excision were assessed in an open study following a double-blind study on the effect of after-treatment with Strontium 90 (Sr 90). The results of the treatment of more complicated pterygia with disturbances of ocular motility and reduced visual acuity were also assessed; the treatment consisted of pterygium excision, conjunctival flaps or keratoplasty, and in the case of symblepharon fornix reconstruction. Thirty-three eyes with pterygia which had not previously been operated on, were treated with the "bare sclera" operative technique in combination with Sr 90 irradiation. After this treatment there were no recurrences. In the group of 18 recurrent pterygia which were treated with the same technique, two recurrences were seen. These results of irradiation are in sharp contrast with the 67% chance of recurrence when the "bare sclera" technique is used alone. The results of the more complicated pterygium operations were also successful. Visual acuity, motility and appearance improved markedly or became normal. Recurrences were rare (0-6%).
Authors:
R J de Keizer; M Swart-van den Berg; W J Baartse
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Documenta ophthalmologica. Advances in ophthalmology     Volume:  67     ISSN:  0012-4486     ISO Abbreviation:  Doc Ophthalmol     Publication Date:    1987 Sep-Oct
Date Detail:
Created Date:  1988-03-10     Completed Date:  1988-03-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370667     Medline TA:  Doc Ophthalmol     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  33-44     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Leyden University Medical Centre, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Conjunctiva / transplantation*
Corneal Transplantation*
Humans
Pterygium / pathology,  radiotherapy,  surgery,  therapy*
Recurrence
Strontium Radioisotopes / therapeutic use*
Surgery, Plastic
Surgical Flaps*
Time Factors
Chemical
Reg. No./Substance:
0/Strontium Radioisotopes

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


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