Pterygium of Both Eyes
Conditions
Keywords
pterygium, amniotic membrane, conjunctival autograft, ocular mucin
Brief summary
To identify and compare the differences in the concentration of the Muc2 and Muc5AC mucins in tear film in patients who underwent pterygium surgery using amniotic membrane transplantation and conjunctival autograft surgery.
Detailed description
Patients with nasal, primary pterygium bigger than 1 mm of corneal invasion with residence in Mexico City and older than 18 years were included. Under informed consent, patients were divided into two groups in a random fashion. Pterygium surgery was carried out with conventional technique performing amniotic membrane transplantation for group A, and conjunctival autograft for group B. Muc2 and muc5ac mucin concentration was measure min tear film by ELISA; samples were taken before surgery, at first, third and sixth month postoperatively. BUT was also measured on the same dates. Descriptive statistics and the U-Mann Whitney test for independent groups, considering a p≤0.05 as significant were used for analysis.
Interventions
Amniotic membrane transplantation was used as covering material during pterygium surgery.
Sponsors
Study design
Masking description
The patients did not know what kind of material was used in their surgery. The assessor who performed tear film analysis did not know what material was used in the patient.
Intervention model description
Two groups of patients in whom Conventional Pterygium surgery was performed Each patient was randomly assigned for either received amniotic membrane transplantation or conjunctival autograft as a recovering method in the pterygium removed area after surgery. Tear film Mucins were measured in both groups
Eligibility
Inclusion criteria
* Patients with nasal, primary pterygium bigger than 1 mm.
Exclusion criteria
* Diabetes mellitus, single eye.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Ocular Tear film Mucin MUC5ac concentration. | The patients will be assed during six months | Using a capillary tube, tear film was collected en every patient. Then Concentration of mucin MUC5ac were measured by Elisa technique using a quantitative scale. |
| Ocular tear film Mucin MUC2 concentration. | The patients will be assed during six months | Using a capillary tube, tear film was collected en every patient. Then Concentration of mucin MUC2 were measured by Elisa technique using a quantitative scale. |
| Tear film breakup time. | The patients will be assed during six months | Tear film breakup time is the time between a complete blink and the appearance of the first random corneal dry spot and indicates relative tear film stability. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pterygium recurrence. | The patients will be assed during six months | Pterygium recurrence was defined as any fibrovascular proliferation from the original pterygium site from it was surgically removed. |