Panda Bijnya B, Sharma Jyotsna
Ophthalmology, Sriram Chandra Bhanj (SCB) Medical College & Hospital, Cuttack, IND.
Cureus. 2020 Nov 25;12(11):e11711. doi: 10.7759/cureus.11711.
Purpose Although surgical technique and patient variables are responsible for the recurrence of pterygium, the surgeon's experience has been sparsely studied. This retrospective study was designed to compare the surgical time, complications, and rates of recurrence after primary pterygium excision between consultant ophthalmologists and trainee residents. Material and methods In this retrospective study, we collected the data of 176 primary pterygium eyes, who were operated on with excision and sutureless/glueless conjunctival autograft either by the consultant (group A) or by the trainee (group B). The demographic profile, surgical time, complications, and recurrences between both groups were analyzed. Results Both the groups were comparable with regards to age, gender, religion, side of the eye, size of the pterygium, and duration of follow-up. The mean operative time was longer in group B (26.5+/-3.8 minutes) than group A (14.2+/-1.6 minutes). Though a relatively higher percentage of complications was observed in group B (12% vs. 9%), the difference was statistically not significant (Mann-Whitney U test, p-value 0.271). There was no statically significant difference in recurrence rate (6.8% vs 9.4%) between the groups. Conclusion With regards to the role of surgeon experience in primary pterygium excision using the sutureless and glueless conjunctival autografting technique, the residents did not have any statistically significant differences in their postoperative complications and recurrence rates. However, the surgical time was significantly higher in the resident group owing to the learning curve.
目的 虽然手术技术和患者变量是翼状胬肉复发的原因，但外科医生的经验却鲜有研究。本回顾性研究旨在比较顾问眼科医生和实习住院医生在原发性翼状胬肉切除术后的手术时间、并发症及复发率。材料与方法 在本回顾性研究中，我们收集了176只原发性翼状胬肉眼睛的数据，这些眼睛由顾问医生（A组）或实习医生（B组）采用切除联合无缝合/无胶水结膜自体移植术进行手术。分析了两组之间的人口统计学特征、手术时间、并发症及复发情况。结果 两组在年龄、性别、宗教信仰、患眼侧别、翼状胬肉大小及随访时间方面具有可比性。B组的平均手术时间（26.5±3.8分钟）比A组（14.2±1.6分钟）长。虽然B组观察到的并发症百分比相对较高（12%对9%），但差异无统计学意义（曼-惠特尼U检验，p值0.271）。两组之间的复发率无统计学显著差异（6.8%对9.4%）。结论 关于外科医生经验在使用无缝合和无胶水结膜自体移植技术进行原发性翼状胬肉切除术中的作用，住院医生在术后并发症和复发率方面没有任何统计学显著差异。然而，由于学习曲线，住院医生组的手术时间明显更长。
