The efficacy of fascial granuloma excision with conjunctival autografting after pterygium surgery

• Published in: Graefe's archive for clinical and experimental ophthalmology 2018-10, Vol.256 (10), p.1933-1938
• Main Authors: Fan, Hui-Ya, Chen, Zi-Lin
• Format: Article
• Language: English
• Subjects: Cornea; Fascia; Granuloma; Granulomas; Inflammation; Medicine; Medicine & Public Health; Ophthalmology; Patients; Surgery
• ISSN: 0721-832X; 1435-702X
• DOI: 10.1007/s00417-018-4054-1

Background and objective Pterygium has a high recurrence rate after simple excision, and fascial granuloma is one of the common complications of pterygium excision. This study aimed to investigate the treatment for the fascial granuloma. Methods In this study, the 36 eyes of 36 cases with fascial granuloma after pterygium excision were collected and divided into two groups to receive granuloma excision and conjunctival autografting or simple granuloma excision. The patients in the treatment group containing 20 cases received granuloma excision and conjunctival autografting, while the patients in the control group containing 16 cases received simple granuloma excision. Results The pathology examination results showed that all the removed granulomas were inflammatory granulation tissues that without bacterial infection. After 12 months’ follow-up, there was no recurrence of fascia granuloma and pterygium in the treatment group, in which the cure rate was up to 100%. In the control group, 6 cases experienced a recurrence of the granuloma fascia 2~3 weeks after operation; after further granuloma excision and conjunctival autografting, pterygium recurred in 8 cases. Conclusion The fascial granuloma excision with conjunctival autografting is effective and safe in treating fascial granuloma after pterygium surgery, which contributes to reducing the recurrence of pterygium.