Use of Adjuvant Hyperbaric Oxygen Therapy to Support Limbal Conjunctival Graft in the Management of Recurrent Pterygium

作者：Assaad Nagi N; Chong Robert; Tat Lien T; Bennett Michael H; Coroneo Minas T^*

来源：Cornea, 2011, 30(1): 7-10.

DOI：10.1097/ICO.0b013e3181da58a4

• conjunctival graft failure
• hyperbaric oxygen
• recurrent pterygium

Purpose: To assess the role of hyperbaric oxygen therapy (HBOT) in the management of recurrent pterygium.
Methods: Thirty-nine eyes with recurrent pterygium were treated with surgical excision and limbal conjunctival autograft, followed by a course of HBOT. Patients were followed for development of recurrence.
Results: Of the 39 eyes, 18 had a known history of exposure to beta radiation or mitomycin C. The mean duration of follow-up in this group was 23.1 months. A single recurrence was noted in this group. For the remaining 21 eyes, the mean duration of follow-up was 19.4 months. No recurrences were recorded in this group. No significant complications from HBOT were recorded.
Conclusions: The use of HBOT together with excision and limbal conjunctival autograft for recurrent pterygium is associated with a low recurrence rate. Adjuvant HBOT should be considered in the surgical management of recurrent pterygium.

• 出版日期2011-1