ORIGINAL ARTICLE |
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Year : 2015 | Volume
: 28
| Issue : 4 | Page : 897-901 |
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Injection of bevacizumab in the subpterygial tissue at the time of surgical removal against 2 weeks before surgery
Sameh S Mandour, Ahmad M Shannah, Hoda M El Sobky
Department of Ophthalmology, Faculty of Medicine, Menoufia University, Menoufia, Egypt
Correspondence Address:
Hoda M El Sobky Department of Ophthalmology, Faculty of Medicine, Menoufia University, 32511 Egypt
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/1110-2098.173610
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Objective
The aim of this study was to evaluate the postoperative outcome and the recurrence rate after primary pterygium excision using preoperative subpterygial bevacizumab injection at the time of surgical removal as against 2 weeks before surgery.
Background
Recurrence after pterygium excision represents a challenge for ophthalmologists and is considered to be the most common postoperative complication. Several techniques have evolved in a trial to overcome the high rate of postoperative recurrence. However, none proved to be totally effective.
Patients and methods
Forty eyes with primary pterygium were divided into two groups. Group A eyes (included 20 eyes) were operated upon with pterygium excision after subpterygial injection of bevacizumab. Group B eyes (included 20 eyes) were operated upon with pterygium excision 2 weeks after subpterygial injection of bevacizumab. Pterygium regrowth over the cornea for 1 mm or more was considered as a recurrence.
Results
The follow-up period was 6 months. In group A, recurrence was reported in two (10%) eyes, whereas in group B, recurrence was reported in one (5%) eye. No serious postoperative complications were reported. There was no statistically significant difference between the two groups regarding the recurrence rate and the complication rate.
Conclusion
Both techniques used in the current study proved to be effective in reducing the recurrence rate after excision of the primary nasal pterygium with minimal postoperative complications. Injection of bevacizumab 2 weeks before had a better effect on decreasing the pterygium vascularity, which minimized bleeding during operation in addition to decreasing the recurrence rate, according to this study. |
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