Cosmetic outcome of femtosecond laserassisted pterygium surgery
作者机构：Academic OphthalmologyDivision of Clinical NeuroscienceSchool of MedicineUniversity of NottinghamNottinghamUK Department of OphthalmologyQueen’s Medical CentreNottinghamUK Singapore Eye Research InstituteSingaporeSingapore Singapore National Eye Centre11 Third Hospital AvenueSingapore 168751Singapore Duke-NUS Graduate Medical SchoolSingaporeSingapore.
出 版 物：《Eye and Vision》 (眼视光学杂志（英文）)
年 卷 期：2021年第8卷第1期
页 面：59-66页
核心收录：
学科分类：1002[医学-临床医学] 100212[医学-眼科学] 10[医学]
主 题：Cosmesis Cosmetic outcome Femtosecond laser Pterygium Pterygium surgery
摘 要：Background:To examine the cosmetic outcome of femtosecond laser-assisted pterygium surgery(FLAPS)with conjunctival autograft(CAG)and its potential predictive ***:This was a prospective interventional case series(NCT02866968).We included 29 patients(29 eyes)with primary pterygium who underwent *** outcome was graded by two graders(an ophthalmology resident and an experienced ophthalmologist)using Hirst classification system(1-4=excellent-poor).Weighted Cohen’s kappa analysis was performed to examine the intra-and inter-rater *** relationship between cosmetic outcome and various factors were determined by Spearman’s correlation coefficients(r).Results:The preoperative severity of pterygium(Tan grading system)was mild/atrophic(7%),moderate/intermediate(62%),and severe/fleshy(31%).An ultrathin CAG(mean thickness of 74.5±9.8μm)was fashioned *** excellent cosmetic outcome of FLAPS(median±IQR)was observed at 3 months(1.0±1.0)and remained similar at 6months(1.0±0.0)and 12months(1.0±0.0)*** final follow-up,27(93%)patients achieved good-to-excellent cosmetic outcome,with 1(3%)patient having a poor outcome due to incomplete pterygium *** kappa analysis of Hirst grading system showed excellent intra-rater(κ=0.86-0.95)and inter-rater reliability(κ=0.84-0.88).There was a weak and borderline significant correlation between good cosmetic outcome and reduced postoperative CAG thickness(r=0.38,P=0.06)but not with age,gender,preoperative pterygium severity,or intraoperative CAG ***:FLAPS can result in an excellent cosmetic outcome,which may be attributed to the beneficial effect of an ultrathin CAG.
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