To evaluate the efficacy of subconjunctival bevacizumab injection in vascular pterygium before surgical excision in preventing recurrence comparing with bare sclera technique

Introduction: Despite the growing body of evidence supporting the efficacy of subconjunctival bevacizumab injection, questions remain regarding its comparative effectiveness against conventional surgical techniques. Aims and Objectives: The aim of the study was to evaluate the efficacy of subconjunc...

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Main Authors: Nusrat Shaheen, Abdul Gafoor Ahmed, Sheikh Sajjad, Wasim Rashid, Aamir Rashid
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Journal of Clinical Ophthalmology and Research
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Online Access:https://journals.lww.com/10.4103/jcor.jcor_24_24
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author Nusrat Shaheen
Abdul Gafoor Ahmed
Sheikh Sajjad
Wasim Rashid
Aamir Rashid
author_facet Nusrat Shaheen
Abdul Gafoor Ahmed
Sheikh Sajjad
Wasim Rashid
Aamir Rashid
author_sort Nusrat Shaheen
collection DOAJ
description Introduction: Despite the growing body of evidence supporting the efficacy of subconjunctival bevacizumab injection, questions remain regarding its comparative effectiveness against conventional surgical techniques. Aims and Objectives: The aim of the study was to evaluate the efficacy of subconjunctival bevacizumab injection before pterygium surgery with bare sclera technique in preventing postoperative reoccurrence. Materials and Methods: The present study was a comparative, randomized prospective study. Patients included were divided into two groups of 50 patients each. Patients in Group A received bevacizumab 2.5 mg/0.1 ml, and patients in Group B received subconjunctival balanced salt solution 0.1 ml. The primary outcome was recurrence of pterygium at 6 weeks and 6 months. Results: The total number of patients was 100. The mean age was 36.9 ± 8.67 years. The left eye was involved in more, i.e., 61 than the right eye 39. Majority of patients in Group A, i.e., 30 (60%) and in Group B 31 (62%) had Grade 2 pterygium, followed by Grade 3 pterygium in 17 (34%) in Group A and 15 (30%) in Group B. The recurrence rate at 6 weeks was 6% (3 patients) in Group A while it was 22% (11 patients) in Group B (P = 0.021). The recurrence rate at 6 months was 8% (4 patients) in Group A while it was 26% (13 patients) in Group B (P = 0.017). Conclusion: Subconjunctival injection of bevacizumab before surgery of pterygium is safe and effective in terms of recurrence and the complication rate for primary or recurrent pterygium treatment.
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spelling doaj-art-f748879e901442a0a4e0cae59e6e1bc82025-02-06T06:38:52ZengWolters Kluwer Medknow PublicationsJournal of Clinical Ophthalmology and Research2320-38972320-39002025-01-01131343810.4103/jcor.jcor_24_24To evaluate the efficacy of subconjunctival bevacizumab injection in vascular pterygium before surgical excision in preventing recurrence comparing with bare sclera techniqueNusrat ShaheenAbdul Gafoor AhmedSheikh SajjadWasim RashidAamir RashidIntroduction: Despite the growing body of evidence supporting the efficacy of subconjunctival bevacizumab injection, questions remain regarding its comparative effectiveness against conventional surgical techniques. Aims and Objectives: The aim of the study was to evaluate the efficacy of subconjunctival bevacizumab injection before pterygium surgery with bare sclera technique in preventing postoperative reoccurrence. Materials and Methods: The present study was a comparative, randomized prospective study. Patients included were divided into two groups of 50 patients each. Patients in Group A received bevacizumab 2.5 mg/0.1 ml, and patients in Group B received subconjunctival balanced salt solution 0.1 ml. The primary outcome was recurrence of pterygium at 6 weeks and 6 months. Results: The total number of patients was 100. The mean age was 36.9 ± 8.67 years. The left eye was involved in more, i.e., 61 than the right eye 39. Majority of patients in Group A, i.e., 30 (60%) and in Group B 31 (62%) had Grade 2 pterygium, followed by Grade 3 pterygium in 17 (34%) in Group A and 15 (30%) in Group B. The recurrence rate at 6 weeks was 6% (3 patients) in Group A while it was 22% (11 patients) in Group B (P = 0.021). The recurrence rate at 6 months was 8% (4 patients) in Group A while it was 26% (13 patients) in Group B (P = 0.017). Conclusion: Subconjunctival injection of bevacizumab before surgery of pterygium is safe and effective in terms of recurrence and the complication rate for primary or recurrent pterygium treatment.https://journals.lww.com/10.4103/jcor.jcor_24_24bevacizumabpterygiumrecurrence
spellingShingle Nusrat Shaheen
Abdul Gafoor Ahmed
Sheikh Sajjad
Wasim Rashid
Aamir Rashid
To evaluate the efficacy of subconjunctival bevacizumab injection in vascular pterygium before surgical excision in preventing recurrence comparing with bare sclera technique
Journal of Clinical Ophthalmology and Research
bevacizumab
pterygium
recurrence
title To evaluate the efficacy of subconjunctival bevacizumab injection in vascular pterygium before surgical excision in preventing recurrence comparing with bare sclera technique
title_full To evaluate the efficacy of subconjunctival bevacizumab injection in vascular pterygium before surgical excision in preventing recurrence comparing with bare sclera technique
title_fullStr To evaluate the efficacy of subconjunctival bevacizumab injection in vascular pterygium before surgical excision in preventing recurrence comparing with bare sclera technique
title_full_unstemmed To evaluate the efficacy of subconjunctival bevacizumab injection in vascular pterygium before surgical excision in preventing recurrence comparing with bare sclera technique
title_short To evaluate the efficacy of subconjunctival bevacizumab injection in vascular pterygium before surgical excision in preventing recurrence comparing with bare sclera technique
title_sort to evaluate the efficacy of subconjunctival bevacizumab injection in vascular pterygium before surgical excision in preventing recurrence comparing with bare sclera technique
topic bevacizumab
pterygium
recurrence
url https://journals.lww.com/10.4103/jcor.jcor_24_24
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