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Oganesyan O.G.

Helmholtz National Medical Research Center of Eye Diseases

Ashikova P.M.

Helmholtz National Medical Research Center of Eye Diseases

Ivanova A.V.

Helmholtz National Medical Research Center of Eye Diseases

Letnikova K.B.

Helmholtz National Medical Research Center of Eye Diseases

Transplantation of the Bowman’s layer in combined treatment of recurrent pterygium

Authors:

Oganesyan O.G., Ashikova P.M., Ivanova A.V., Letnikova K.B.

More about the authors

Journal: Russian Annals of Ophthalmology. 2023;139(3): 90‑97

DOI: 10.17116/oftalma202313903190

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Table of contents

To cite this article:

Oganesyan OG, Ashikova PM, Ivanova AV, Letnikova KB. Transplantation of the Bowman’s layer in combined treatment of recurrent pterygium. Russian Annals of Ophthalmology. 2023;139(3):90‑97. (In Russ.)
https://doi.org/10.17116/oftalma202313903190

Подписка 2025 (Russian Annals of Ophthalmology)
 
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Current possibilities for the diagnosis and treatment of pterygium. Russian Annals of Ophthalmology. 2024;(2-2):136-142

Pterygium is among the most frequent indications for extraocular ophthalmic surgery. The main method of pterygium treatment — its excision — is often combined with transplantation, non-transplantation, medication and other methods. However, the frequency of pterygium recurrence can exceed 35%, and the cosmetic and refraction outcomes satisfy neither the patient, nor the surgeon.

PURPOSE

The study analyses the technical capability and feasibility for transplantation of the Bowman’s layer in the treatment of recurrent pterygium.

MATERIAL AND METHODS

The transplantation of the Bowmen’s layer was performed according to the developed technique on 7 eyes with recurrent pterygium (7 patients aged 34 to 63 years). The combined surgery technique consisted of pterygium resection, laser ablation, autoconjunctival plasty, exposure to a cytostatic drug, non-suture transplantation of the Bowman’s layer. Maximum length of the follow-up was 36 months. Analysis involved data from refractometry, visometry (without correction and with spectacle correction), and optical coherence tomography of the retina.

RESULTS

There were no complications in any of the studied cases. The cornea and the transplant retained transparency throughout the entire follow-up duration. 36 months after surgery mean spectacle-corrected visual acuity amounted to 0.86±0.2, topographic astigmatism — 1.48±1.4 diopters. Recurrence of pterygium was not observed. All patients were satisfied with the cosmetic outcomes of the treatment.

CONCLUSION

Non-suture transplantation of the Bowmen’s layer recovers normal anatomy, physiology and transparency of the cornea after repeat surgical intervention for pterygium. No pterygium recurrences were observed throughout the entire follow-up after treatment with the proposed combined technique.

Keywords:

transplantation of Bowman’s layer
pterygium
corneal transplantation
excimer laser ablation
lamellar keratoplasty

Authors:

Oganesyan O.G.

Helmholtz National Medical Research Center of Eye Diseases

Ashikova P.M.

Helmholtz National Medical Research Center of Eye Diseases

Ivanova A.V.

Helmholtz National Medical Research Center of Eye Diseases

Letnikova K.B.

Helmholtz National Medical Research Center of Eye Diseases

Received:

14.05.2022

Accepted:

12.12.2022

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