Evidence map›Paper›PMID 40996538›Full record

ArticleInternational ophthalmology2025

Recurrence-free time after pterygium surgery with sutureless conjunctival-limbal vs. conjunctival graft: is there still a role for conjunctival graft alone?

Stefano Lucentini, Cecilia Acuti Martellucci, Luca Rossi, Matteo Sacchi, Paolo Nucci, Saverio V Luccarelli

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Stefano LucentiniDepartment of Ophthalmology, Ospedale Maggiore Di Lodi, Largo Donatori del Sangue 1, 26900, Lodi, Italy. lucentini2790@gmail.com.
Cecilia Acuti MartellucciDepartment of Environmental and Prevention Sciences, University of Ferrara, Ferrara, Italy.
Luca RossiEye Clinic San Giuseppe Hospital, Milan, Italy.
Matteo SacchiEye Clinic San Giuseppe Hospital, Milan, Italy.
Paolo NucciEye Clinic San Giuseppe Hospital, Milan, Italy.
Saverio V LuccarelliEye Clinic San Giuseppe Hospital, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the risk of recurrence and disease-free time after conjunctival-limbal autograft (CLAG) or conjunctival autograft (CAG) with sutureless (fibrin glue) fixation for pterygium excision.

methodsThis is a retrospective cohort study. We reviewed the charts of 312 patients who underwent CLAG and CAG sutureless techniques between 2010 and 2019. Follow-up visits were scheduled on day 1, at weeks 1 and 4, and at 3, 6, 9, and 12 months post-surgery, with subsequent visits every two years thereafter. The primary outcomes were the overall recurrence rate and average time to recurrence. The secondary outcomes were the rates of postoperative complications and the operation duration. Multivariate logistic regression was performed to verify the potential independent predictors of the study outcomes.

results265 patients were included, with a mean follow-up time of 31.5 months (maximum 8 years). The pterygium recurrence rate was significantly lower in the CLAG group at 12 months (3.9 vs. 17.4%, p < 0.001) and at the end of the follow-up (4.6 vs. 18.2%, p < 0.001). Patients with CLAG also had a longer time to recurrence (8.8 vs. 4.8 months, p = 0.012). The complications rate was lower for CLAG (0.8 vs. 10.9%, p < 0.001), while no clinically relevant differences were found in the surgery duration (23.4 min for CLAG vs. 25.2 min for CAG). Multivariate analysis confirmed these bivariate results.

conclusionsCompared with CAG, CLAG reduced the risk and time to pterygium recurrence. Owing to the comparable surgical time and better safety profile, the CLAG technique can be considered a clinically and potentially cost-effective approach for pterygium management.

Indexed as

ConjunctivaLimbus CorneaeOphthalmologic Surgical ProceduresPterygiumSutureless Surgical ProceduresAdultAgedAutograftsFemaleFollow-Up StudiesHumansMaleMiddle AgedRecurrenceRetrospective StudiesTime FactorsAutograftConjunctivaFibrin glueLimbusPterygium

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.