Comparison of hyperdry amniotic membrane transplantation and conjunctival autografting for primary pterygium

• Published in: BMC ophthalmology Vol. 18; no. 1; p. 119
• Main Authors: Pan, Xin, Zhang, Daguang, Jia, Zhifang, Chen, Zhehui, Su, Yuetian
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 15.05.2018; BioMed Central; BMC
• Subjects: Adult; Aged; Amnion; Amnion - transplantation; Care and treatment; Comparative analysis; Conjunctiva - transplantation; Conjunctival autografting; Female; Follow-Up Studies; Graft Survival; Humans; Hyperdry amniotic membrane transplantation; Male; Middle Aged; Ophthalmologic Surgical Procedures - methods; Primary pterygium; Pterygium; Pterygium - surgery; Recurrence; Recurrence rate; Retrospective Studies; Transplantation; Transplantation, Autologous; Conjunctival autografting; Primary pterygium; Hyperdry amniotic membrane transplantation; Recurrence rate
• ISSN: 1471-2415; 1471-2415
• DOI: 10.1186/s12886-018-0784-4

The purpose of this study was to evaluate the safety and effectiveness of the hyperdry amniotic membrane transplantation compared with conjunctival autografting for the treatment of primary pterygium. One hundred and forty-one eyes from 130 patients with primary pterygium were treated with excision followed by hyperdry amniotic membrane or conjunctival autografting after random selection. Seventy-nine eyes from 71 patients received hyperdry amniotic membrane transplantation (HD-AM group), and 62 eyes from 59 patients received conjunctival autografting (CG group). Patients were followed up at one week and one, three, six, and 12 months post-surgery. Recurrence rate, postoperative complications, and final follow-up patient visits were prospectively evaluated. The mean follow-up duration was 12.56 ± 4.35 months in the HD-AM group and 12.85 ± 3.90 months in the CG group. Recurrences were detected in four eyes (5.06%) in the HD-AM group and 13 eyes (20.97%) in the CG group. A statistically significant difference in frequency of recurrence between the two groups (P = 0.003) was observed. The cumulative non-recurrence rates at six and 12 months in all patients stratified by age and sex were not significantly different (P = 0.642 and P = 0.451, respectively, by log-rank test). Graft retraction and necrosis were not detected in the two groups during the follow-up period. Hyperdry amniotic membrane transplantation was effective in preventing pterygium recurrence when compared with conjunctival autografting and can be considered a preferable and safe grafting procedure for primary pterygium. Current Controlled Trials ISRCTN16900270 , Retrospectively registered (Date of registration: 3 May 2018).