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LETTER TO EDITOR
Year : 2003  |  Volume : 51  |  Issue : 1  |  Page : 108-109

Inferior limbal conjunctival autograft transplantation for recurrent pterygium.


Correspondence Address:
H Oguz


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Source of Support: None, Conflict of Interest: None


PMID: 12701879

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How to cite this article:
Oguz H. Inferior limbal conjunctival autograft transplantation for recurrent pterygium. Indian J Ophthalmol 2003;51:108-9

How to cite this URL:
Oguz H. Inferior limbal conjunctival autograft transplantation for recurrent pterygium. Indian J Ophthalmol [serial online] 2003 [cited 2020 Sep 20];51:108-9. Available from: http://www.ijo.in/text.asp?2003/51/1/108/14721

Dear Editor,

In the March 2000 issue of the journal,[1] Dr. Wong and associates evaluated the safety and efficacy of inferior limbal-conjunctival autograft transplantation in the surgical management of recurrent pterygium, and claimed that this method was a safe and effective option in the management of recurrent pterygium.

However, Cordelia M.L. Chan and associates have recently reported ocular surface changes in pterygium.[2] In their study a graded series of changes was seen throughout the bulbar conjunctiva in eyes with pterygium. The cytology of surface cells overlying the pterygium was abnormal, typically exhibiting squamous metaplasia with increased goblet cell density. Also, this abnormal cytology was demonstrated in the inferior bulbar conjunctiva as well as in the pterygium. Interestingly the superior bulbar conjunctiva was mostly normal (97.6%). I think this recent report[2] prohibits the use of inferior conjunctiva in pterygium surgery, especially in recurrent cases.

Based on previous clinical experiences and reported results I would still recommend the use of conjunctival autograft from the superior bulbar conjunctiva.

 
  References Top

1.
Wong AK, Rao SK, Leung AT, Poon AS, Lam DS. Inferior limbal-conjunctival autograft transplantation for recurrent pterygium. Indian J Ophthalmol 2000;48:21-24.  Back to cited text no. 1
    
2.
Chan CML, Liu YP, Tan DTH. Ocular surface changes in pterygium. Cornea 2002;21:38-42.  Back to cited text no. 2
    



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