We have never charged extra for the use of mitomycin. Results of treatment with mitomycin-C 0.02% following excision of primary pterygium. Br J Ophthalmol. 5-Fluorouracil as chemo adjuvant for primary pterygium surgery: preliminary report. Single intraoperative application versus postoperative mitomycin-C eye drops in pterygium surgery. The pterygium continues to poke its head into all of our practices. Springfield, 111: CC. Recurrent pterygium surgery often occurs. 16:260-2. Some can be quite aggressive, affecting vision and even restricting … 1995:120:151160.4. Four patients were given MMC for 28 days as a … One of the downsides to the use of grafts with Tisseel is the occasional granuloma that can form in the graft.I have had no scleral melts (knock on wood) out of a few hundred cases over the past 15 or so years. 2. Thio-tepa therapy to prevent postoperative pterygium occurrence and neovascularization. Thomas; 1965:30-33.2. Serious complications of topical mitomycin-C after pterygium surgery. It should be noted that the two recurrences in the group with previous recurrences experienced a wide dehiscence of the surgical wound early in the postoperative course because there was insufficient conjunctival tissue to cover the sclera that caused it to revert to the "bare sclera." Results of treatment with mitomycin-C 0.02% following excision of primary pterygium. Am J Ophthalmol. You can also search for this author in Compliance with the longest was 10 years, 9 months and the shortest was 1 year, 3 months. Less time is also spent in applying 5-FU (5 min) than conjunctiva autograft (20–30 min, although this could be reduced with use of fibrin tissue glue when it is available). Cameron ME. BSS rinse may be used after 2 minutes or it is just left as is at the site. I don’t know if there’s a code for this. and JavaScript.The use of conjunctiva autograft, adjunct antimetabolite therapy has been shown to be effective in preventing pterygium recurrence.To compare 5 fluorouracil (5-FU) to conjunctival autograft in the treatment of large, fleshy pterygium.A randomised controlled prospective study of outcome of pterygium treatment using 5-FU as adjuvant treatment compared to conjunctiva autograft. The recurrence rates have been reported as low as 0% to 1 2% in most series. I irrigate with half a bottle of Dacryose or similar eye irrigation solution if done in the office and run irrigation from the phaco tip over it for 20 seconds if done in conjunction with cataract surgery. Do you have any literature references? Am J Ophthalmol. Pterygium surgery is bare sclera, no sutures or cautery, polish with diamond burr, topical anesthesia. Pterygium surgery is bare sclera, no sutures or cautery, polish with diamond burr, topical anesthesia. METHODS In a phase I clinical trial, 10 patients with conjunctival melanoma and/or primary acquired melanosis with atypia were treated with topical MMC 0.04% four times daily. Suh performs the excision with conjunctival autograft and secures the autograft with Tisseel glue (Baxter Healthcare, Deerfield, Illinois).For recurrent pterygia, Dr. 1973;76;37 1-373.12. Ophthalmic Surg. [Ophthalmic Surg Lasers 2001;32:341-345]Abstract. A wire lid speculum is inserted and approximately 1 cc of 2% carbocaine is injected subconjunctivally with a 30-gauge needle. Anduze AL, Burrnett JM. Br J Ophthalmol. (2009). Participants: Ninety nine patients who underwent pterygium surgery and participated in a controlled study for efficacy of MMC for pterygium surgery between 1989 and 1994. Panda A, et al. Ophthalmology. Kleis WP. Mahar PS, Nwokora GE.