A study of recurrence of pterygium after excision with bare sclera method and excision with beta radiation
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 5
Abstract
Introduction: Pterygium is one of the clinical conditions met with commonly in tropical countries especially in India. Etiology is not certain but sunlight (ultra violet rays) supposed to be the main cause. Irrespective of its etiology the treatment has been same that is surgical. The object of this study was to evaluate recurrence of pterygium after excision and excision with application of beta radiation. Material and Method: 49 CASES were selected from the outpatient department with 53 Pterygia. Al the cases were subjected to surgical removal of pterygium with bare sclera technique, by the same surgeon. Out of 53 surgeries 26 cases received beta radiation after excision. BETA radiation (STRONTIUM 90) was given in doses of 1500 rads on bare sclera including limbus with strontium 90 applicator by the surgeon immediately on the second day of surgery in a single dose. Observations: Out Of Total 49 Cases 53 Pterygia were studied, these cases were grouped in four categories. Group A: unilateral cases with no surgery—only excision done. Group B: unilateral cases with no surgery only excision done+ beta radiation given, Group C: bilateral pterygia cases –no h/o surgery, both eyes were subjected to surgery and beta radiation to only one eye, Group D: recurrent cases –surgery+beta radiation. *Out of 27 only excision 7 recurrence –28%, Out of 26 cases with excision +radiation 1 recurrence-3%. Summary: Our study suggests that beta-radiation is highly effective in reducing the recurrence of pterygium in all types.
Authors and Affiliations
Wangikar V D, Suvarnkar V G
Keywords
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