Pterygium excision with adjuvant, laser, beta-radiation and mitomycin C

ABSTRACT

The purpose of the study is to know a proper pterygium therapy; to decrease postoperative recurrence. 60 patients with 66 pterygia, underwent pterygium excision with bare sclera. The patients were divided into 3 groups [A, B and C]. Group [A] includes 18 patients with 19 pterygia, received postoperative argon blue-green laser. Group [B], 20 patients with 22 pterygia received intraoperative 0.02% [0.2 mg/ml mitomycin-C for 5 minutes. Group [C], 22 patients with 25 pterygia received intraoperative mitomycin-C 0.2 mg/ml and post operative beta-radiation 2400 rads. Follow up was 1-2 years Group [A], recurrence rate was 6 pterygia 41%, group [B], 3 cases 13% and group [C], one case 4%. Success rate with intraoperative mitomycin-C 0.2 mg/ml is better than postoperative argon laser and when mitomycin-C is followed by beta-radiation has a best result: