1st Edition

Pterygium Techniques and Technologies for Surgical Success

By John Hovanesian Copyright 2011

    Pterygium surgery often presents a challenge to ophthalmic surgeons due to a high tendency for tissue re-growth. Pterygium: Techniques and Technologies for Surgical Success details the latest advances in ocular surface surgery, as well as new methods to overcome the traditional complications of pterygium surgery.

    Dr. John A. Hovanesian and his contributors address pterygium surgery through a detailed compilation of intraoperative and postoperative patient management. Pterygium: Techniques and Technologies for Surgical Success includes step-by-step details on a wide range of treatment therapies, such as:

    • Use of fibrin tissue adhesive
    • Conjunctival autograft techniques, including wide margin autograft
    • Amniotic membrane techniques and pearls
    • Mitomycin and 5FU Adjuncts
    • Conjunctival Chalasis
    • Postoperative complications management, including the surgical approach to recurrences

    Pterygium: Techniques and Technologies for Surgical Success is an indispensible resource for ophthalmic surgeons, residents, fellows, and assisting staff who must keep up with the latest ocular procedures regarding pterygium surgery.

    Dedication

    Acknowledgments

    About the Editor

    Contributing Authors

    Preface

    Foreword by Claes H. Dohlman, MD

    Introduction

    Chapter 1 Pterygium Pathogenesis, Actinic Damage, and Recurrence

    Jeanie Jin Yee Chui, MBBS, PhD and

    Minas Theodore Coroneo, FRANZCO, MD, FRACS, MS

    Chapter 2 Historical Approaches to Pterygium Surgery, Including Bare Sclera and

    Adjunctive Beta Radiation Techniques

    R. Duncan Johnson, MD; Vicky C. Pai, MD; and Richard H. Hoft, MD

    Chapter 3 Pterygium Excision With Conjunctival Autograft

    Kenneth R. Kenyon, MD and Mark A. Fava, MD, FRCSC

    Chapter 4 Fibrin Tissue Adhesive

    David R. Hardten, MD

    Chapter 5 5-Fluorouracil and Mitomycin-C: Adjuncts to Pterygium Surgery

    M. Camille Almond, MD; B. Travis Dastrup, MD;

    and Stephen C. Kaufman, MD, PhD

    Chapter 6 History of Amniotic Membranes in Pterygium Surgery

    Juan F. Batlle, MD

    Chapter 7 Use of Amniotic Membrane for Conjunctival Reconstruction

    Mohamed Abou Shousha, MD; Jane Fishler, MD; and Victor L. Perez, MD

    Chapter 8 Pterygium Excision and Placement of Amniotic Membrane Grafts

    Hyung Cho, MD and Roy S. Chuck, MD, PhD

    Chapter 9 Pterygium Excision With a Conjunctival Autograft and Prophylactic

    Placement of Subconjunctival Amniotic Membrane Surrounding the

    Excision Site

    John A. Hovanesian, MD, FACS and Andrew S. Behesnilian, MD

    Chapter 10 Pterygium: Postoperative Management and Complications

    Dhivya Ashok Kumar, MD and Amar Agarwal, MS, FRCS, FRCOphth

    Chapter 11 Management of Recurrent Pterygium

    Jay C. Bradley, MD

    Chapter 12 Conjunctival Chalasis: Diagnosis and Surgical Treatment

    John A. Hovanesian, MD, FACS

    Financial Disclosures

    Index

    Biography

    John A. Hovanesian, MD, FACS is a member of the clinical faculty at the UCLA Jules Stein Eye Institute in Los Angeles, CA and is in private ophthalmic practice in Laguna Hills, CA with Harvard Eye Associates. He completed his undergraduate training in 3 years in the honors chemistry program at the University of Michigan in Ann Arbor, where he was a James B. Angell Scholar and was inducted into the Phi Beta Kappa honor society as a sophomore. After graduating Summa Cum Laude, he earned his medical degree from the University of Michigan Medical School and completed his residency training at Henry Ford Hospital in Detroit, MI, where he was named Resident of the Year and was selected by his faculty to serve as chief resident. He then completed a 2-year fellowship in cornea and external disease at the UCLA Jules Stein Eye Institute. In his private practice in Southern California, he directs one of the country’s most recognized FDA study centers, evaluating new eye care technologies. He serves as a board member or consultant for over 20 eye technology companies.

    As the son of two teachers, Dr. Hovanesian enjoys contributing to ophthalmic education and serves the American Academy of Ophthalmology as editor of the Online News and Education Network’s cataract and anterior segment section. He is a regular contributor and member of the editorial board for Ocular Surgery News, Cataract and Refractive Surgery Today, The Premier Surgeon, Advanced Ocular Care, and Primary Care Optometry News. He blogs at http://www.osnsupersite.com/blog/hovanesian.aspx. In his spare time, Dr. Hovanesian, an Eagle Scout, is a volunteer leader with the Boy Scouts of America serving as both cubmaster of his son’s Cub Scout group and executive board member of the Orange County, California Council. He and his wife also teach Sunday school at his church in Costa Mesa, CA.