Changing trends in pterygium management

Krishnacharya, Prabhakar Srinivasapuram; Singhal, Anuj; Angadi, Pooja; Naaz, A Shamsiya; Reddy, Abhinaya

doi:10.4103/1858-6538.205798

Cited by 1 publication

(2 citation statements)

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“…Wong et al found decreased levels of insulin-like growth factor binding protein-3 (IGFBP3), strongly correlated with the presence of cancer, occurring in samples of pterygium compared to normal conjunctiva6 while Solomon et al found insulin-like growth factor binding protein-2 (IGFBP2) overexpression in the fibroblasts of pterygium samples [7]. There are a number of management options available with no consensus on best practice, however, surgical management remains the mainstay of treatment in large pterygiums with particular focus on post-operative management to prevent reoccurrence [8][9][10]. Various studies have evaluated multiple surgical techniques, from simple excision and transposition of head of pterygium to mucous membrane grafting, lamellar keratoplasty and limbal autografts [8,9].…”

Section: Introductionmentioning

confidence: 99%

“…There are a number of management options available with no consensus on best practice, however, surgical management remains the mainstay of treatment in large pterygiums with particular focus on post-operative management to prevent reoccurrence [8][9][10]. Various studies have evaluated multiple surgical techniques, from simple excision and transposition of head of pterygium to mucous membrane grafting, lamellar keratoplasty and limbal autografts [8,9]. Many have reviewed fixation methods and use of adjunct therapy in the management of pterygium in an attempt to improve post-operative recovery and reoccurrence [10].…”

Section: Introductionmentioning

confidence: 99%

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"The use of Fentanyl Patches in the Management of Post- Operative Pain in Pterygium Surgery"

Kelly

2023

BJSTR

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Introduction: Pterygium are non-cancerous growths of the conjunctiva that often require surgical removal due to discomfort, cosmesis and distortion of vision. Although there are a number of techniques available, the consensus on best practice remains debated, with major goal of treatment to avoid reoccurrence. Pterygium can cause significant discomfort and often excision is indicated for symptomatic relief. While a number of studies have reviewed techniques to achieve best operative outcome and prevent reoccurrence, few have focused on post-operative pain which can be significant and impact on patient compliance.Methods: Patients from the same ophthalmologist were prescribed a post-operative regime that included a 12-microgram fentanyl patch for 72 hours and were then surveyed to determine effect on pain control. Results:The results of the study showed optimal pain control in approximately 90% of the 37 surveyed patients and post-operative nausea and vomiting reported in less than 20% of individuals. Conclusion:In conclusion fentanyl patches are an effective analgesic agent for the management of post operative pain with minimal side effects reported. Further research is required to the utility of fentanyl in other ophthalmic procedures.

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