Index

Textbook of Pterygium Management Namrata Sharma, Tushar Agarwal, Shikha Gupta

SECTION I: PTERYGIUM: WHAT, WHY AND WHEN?
CHAPTER 1:Etiopathogenesis of Pterygium
- Ultraviolet Radiations
- Angiogenesis and Inflammation
- Lymphangiogenesis
- Tumorigenesis
- Genetics
  - Viruses and Other Infective Agents
- Conclusions
CHAPTER 2:Workup of a Case of Pterygium
- Introduction
- Clinical history taking in a case of pterygium
- Counseling Patient Regarding Expectations from Pterygium Excision
SECTION II: SURGICAL MANAGEMENT OF PTERYGIUM
CHAPTER 3:Pterygium Excision with Conjunctival Autografting Using Glue
- Indications
- Advantages and Disadvantages
- Surgical Procedure
- Conclusion
CHAPTER 4:Pterygium Excision with Conjunctival Autograft (Suture Technique)
- Introduction
- Technique
- Results
- Complications
- Conclusion
CHAPTER 5:Conjunctival Excision and Extended Tenectomy with Conjunctival Autograft for Primary Pterygium
- Introduction
- Indications
- Current Role
- Surgical steps for CRATER technique
- Conclusion
CHAPTER 6:Pterygium Excision with Inferior Conjunctival Autografting
- INTRODUCTION
- INDICATIONS
- CURRENT ROLE
- OUTCOMES
- SURGICAL TECHNIQUE
- CONCLUSION
CHAPTER 7:Pterygium Excision with Narrow-stripConjunctival Autograft
- Introduction
- Indications
- Outcomes
- Surgical Technique
- conclusion
CHAPTER 8:Conjunctival Excision with Autograft Using Sandwich Technique
- Introduction
- Indications
- Current Role
- Outcomes
- Surgical Technique
  - Anesthesia
  - Surgery
- Conclusion
CHAPTER 9:Pterygium Surgery withAutograft Affixation Using Blood
- Introduction
- Indications
- Current role
- Outcomes
- Surgical technique
- Conclusion
CHAPTER 10:Pterygium Excision by Mini-flap Technique
- INTRODUCTION
- INDICATIONS
- CURRENT ROLE
- OUTCOMES
- SURGICAL TECHNIQUE
- CONCLUSION
CHAPTER 11:Conjunctival Excision with Amniotic Membrane Grafting with or without Sutures
- INTRODUCTION
- RATIONALE FOR USE
- INDICATIONS
- SURGICAL TECHNIQUE
- COMPLICATIONS
- OUTCOMES
- Conclusion
CHAPTER 12:Minor Ipsilateral Simple LimbalEpithelial Transplantation
- Introduction
- Principle of mini-SLET
  - Advantages
- INDICATIONS
- SURGICAL TECHNIQUE
- Conclusion
CHAPTER 13:Antimetabolites in Pterygium Management
- INDICATIONS
- CONTRAINDICATIONS
- Advantages and Disadvantages
- Outcomes
- PREPARATION AND USES
- CONCLUSION
- INDICATIONS
- CONTRAINDICATIONS
- ADVANTAGES AND DISADVANTAGES
- OUTCOMEs
- PREPARation AND USEs
  - Intraoperatively
  - Postoperatively
- CONCLUSION
CHAPTER 14:Antivascular Endothelial Growth Factor Agents
- INDICATIONs
- CONTRAINDICATIONS
- ADVANTAGES AND DISADVANTAGES
- OUTCOMES
- Preparation AND USEs
- Conclusion
CHAPTER 15:Adjunctive Therapy in Pterygium Management
- BETA IRRADIATION
- INTERFERON ALPHA- 2b (IFN α-2b)
- OLOGEN®
SECTION III: MANAGEMENT OF RECURRENT PTERYGIUM
CHAPTER 16:Conjunctival Excision with Limbal Conjunctival Autograft or Amniotic Membrane Grafting, with or without Mitomycin-C in Recurrent Pterygium
- INTRODUCTION
- INDICATIONS
- CURRENT ROLE
- OUTCOMES
- SURGICAL TECHNIQUE
- CONCLUSION
CHAPTER 17:Combined Ipsilateral Autologous Limbus and Homologous Amniotic Membrane Transplantation for Recurrent Symblepharopterygium
- Introduction
- Indications
- Advantages and Disadvantages
- Surgical Techniques
- Outcomes
- Conclusion
CHAPTER 18:Sealing the Gap for Managing Pterygium
- INTRODUCTION
- Principle Behind the Technique
- Advantages of Using Amniotic Membrane Transplant
- SURGICAL TECHNIQUE
- POSTOPERATIVE CARE
- CONCLUSION
SECTION IV: CHALLENGING SITUATIONS IN PTERYGIUM MANAGEMENT
CHAPTER 19:Double-headed Pterygium: Split Conjunctival Grafts
- Introduction
- Indications of Split Conjunctival Grafting
- Advantages of Split Conjunctival Grafting
- Disadvantages of Split Conjunctival Grafting
- Surgical Technique
- Outcomes
- Conclusion
CHAPTER 20:Management of Pterygium with Coexisting Cataract
- INTRODUCTION
- THE IMPACT OF PTERYGIUM ON VISUAL PARAMETERS
- SIMULTANEoUS PTERYGIUM AND CATARACT SURGERY
- TIMING OF the CATARACT SURGERY: BEFORE OR AFTER THE PTERYGIUM EXCISION
- Surgical Technique for Pterygium Surgery
- CONCLUSION
CHAPTER 21:Management of Corneal Opacity after Pterygium Surgery
- Introduction
- Predisposing Factors
- Prevention
- Preoperative considerations
- Management
- Conclusion
CHAPTER 22:Management of Pterygium with other Coexisting Ocular Surface Conditions
- Introduction
- Indications
- Investigations
  - Impression Cytology
  - High Resolution OCT
- Management
  - Surgical Technique
- Introduction
- Management
- Conclusion
CHAPTER 23:Pterygium and Glaucoma
- Introduction
- Timing of Surgery
- Preoperative considerations and evaluation
CHAPTER 24:Complications after Pterygium Surgery
- Introduction
- Graft-related Complications
- Host and Donor Site Complications
- Generalized Ocular Side Effects
- Conclusion
CHAPTER 25:Autologous Advanced Tenon Grafting Combined with Conjunctival Flap for Scleromalacia
- Introduction
- Materials for Ocular Surface Reconstruction
- Indications
- Advantages and Disadvantages
- Surgical Technique
- Postoperative Care
- Outcomes
- Conclusion
CHAPTER 26:Tectonic Lamellar Graft in Post Pterygium Surgery Corneoscleral Melt
- INTRODUCTION
- CLINICAL PRESENTATION
- PATHOPHYSIOLOGY
- APPROACH TO MANAGEMENT
- SURGICAL TECHNIQUE
  - Anesthesia
  - Lamellar Keratoplasty
- OUTCOMES
- CONCLUSION

INDEX

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Index

Chapter Notes