{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T14:40:07Z","timestamp":1788792007906,"version":"build-2803163510"},"reference-count":42,"publisher":"Wiley","license":[{"start":{"date-parts":[[2018,12,20]],"date-time":"2018-12-20T00:00:00Z","timestamp":1545264000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Ophthalmology"],"published-print":{"date-parts":[[2018,12,20]]},"abstract":"<jats:p><jats:italic>Purpose<\/jats:italic>. To evaluate the efficiency of pterygium excision with the vertical split conjunctival technique using fibrin glue in treatment of primary double-headed pterygia. <jats:italic>Patients and Methods<\/jats:italic>. 15 eyes of 15 patients with primary double-headed pterygia that underwent vertical split conjunctival autograft pterygium surgery were retrospectively reviewed. Recurrence was defined as fibrovascular proliferation over the limbus onto the cornea. <jats:italic>Results<\/jats:italic>. The patients\u2019 mean age was 36.92 \u00b1 10.8 years. At 12-month follow-up, recurrence was not seen in any cases. Regarding postoperative cosmetic grading, grade 1 (the appearance of the operated site is not different from the normal appearance) was found in 12 eyes (80%) and grade 2 (some fine episcleral vessels in the excised area extending up to but not beyond the limbus and without fibrous tissue) was found in 3 eyes (20%). None of the cases showed conjunctival scarring or fibrosis at the conjunctival donor area. Preoperative Sim K astigmatism at the central 3\u2009mm and BCVA were 3.05 \u00b1 1.5 diopters (D) and 0.64 \u00b1 0.26\u2009logMAR, which improved significantly to 1.15 \u00b1 0.84\u2009D and 0.26 \u00b1 0.18\u2009logMAR at 12-month follow-up postoperatively, respectively. <jats:italic>Conclusion<\/jats:italic>. Vertical split conjunctival autograft using fibrin glue is an effective technique with good cosmetic results and low to no recurrence for primary double-headed pterygia treatment. This trial is registered with <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/clinicaltrials.gov\/ct2\/show\/NCT03507283\">NCT03507283<\/jats:ext-link>.<\/jats:p>","DOI":"10.1155\/2018\/9341846","type":"journal-article","created":{"date-parts":[[2018,12,20]],"date-time":"2018-12-20T18:36:46Z","timestamp":1545331006000},"page":"1-6","source":"Crossref","is-referenced-by-count":11,"title":["Outcomes of Vertical Split Conjunctival Autograft Using Fibrin Glue in Treatment of Primary Double-Headed Pterygia"],"prefix":"10.1155","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7187-2397","authenticated-orcid":true,"given":"Tarek Roshdy","family":"Elhamaky","sequence":"first","affiliation":[{"name":"Ophthalmology Department, Lecturer of Ophthalmology, Benha University Faculty of Medicine, Benha 13511, Qalyubia Governorate, Egypt"},{"name":"Consultant Ophthalmologist, Advanced Center for Day Care Surgery, Abu Dhabi, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0249-1483","authenticated-orcid":true,"given":"Ahmed Mohammed","family":"Elbarky","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Associate Professor Ophthalmology, Benha University Faculty of Medicine, Egypt"},{"name":"Consultant Vitreoretinal, Sheikh Khalifa Medical City, Abu Dhabi, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjo.2012.07.002"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1007\/s10792-013-9791-x"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/j.exer.2015.01.010"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.14-15046"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajpath.2010.10.037"},{"key":"6","first-page":"53","volume":"317","year":"2011","journal-title":"Bulletin of the Belgian Society of Ophthalmology"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1097\/ico.0000000000000221"},{"key":"8","first-page":"269","volume-title":"Effective use of amniotic membrane in ocular surface disease","year":"2017"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2005.071993"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtos.2016.12.001"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.3892\/mmr.2016.5223"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2014-305817"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1007\/s10792-014-0013-y"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.3109\/02713683.2014.999947"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2003.032854"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1097\/ico.0000000000001036"},{"issue":"2","key":"17","first-page":"187","volume":"51","year":"2003","journal-title":"Indian Journal of Ophthalmology"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.13-12141"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2009.01.044"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1038\/sj.eye.6701728"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.3928\/15428877-20120802-02"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-15823-5_20"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1016\/s0161-6420(99)90006-4"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1016\/s0161-6420(00)00567-4"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1097\/00003226-200308000-00002"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.4103\/0301-4738.15286"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.1097\/ico.0b013e31813349ec"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.3341\/jkos.2010.51.5.642"},{"key":"29","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjo.2013.05.014"},{"key":"30","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/891582"},{"key":"31","doi-asserted-by":"publisher","DOI":"10.1097\/ico.0000000000000812"},{"key":"32","doi-asserted-by":"publisher","DOI":"10.3109\/08820538.2015.1131836"},{"key":"33","doi-asserted-by":"publisher","DOI":"10.3109\/08820538.2015.1131836"},{"key":"34","doi-asserted-by":"publisher","DOI":"10.4103\/ijo.ijo_284_17"},{"key":"35","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-016-3483-y"},{"key":"36","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjo.2016.02.022"},{"key":"37","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2008.145516"},{"key":"38","doi-asserted-by":"publisher","DOI":"10.1080\/02713683.2016.1250277"},{"key":"39","doi-asserted-by":"publisher","DOI":"10.1097\/ico.0000000000001341"},{"key":"40","doi-asserted-by":"publisher","DOI":"10.1097\/icl.0000000000000065"},{"key":"41","doi-asserted-by":"publisher","DOI":"10.1097\/ico.0000000000001270"},{"key":"42","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2008.139600"}],"container-title":["Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/joph\/2018\/9341846.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/joph\/2018\/9341846.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/joph\/2018\/9341846.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,12,20]],"date-time":"2018-12-20T18:36:49Z","timestamp":1545331009000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/joph\/2018\/9341846\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,20]]},"references-count":42,"alternative-id":["9341846","9341846"],"URL":"https:\/\/doi.org\/10.1155\/2018\/9341846","relation":{},"ISSN":["2090-004X","2090-0058"],"issn-type":[{"value":"2090-004X","type":"print"},{"value":"2090-0058","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,12,20]]}}}