{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T16:02:17Z","timestamp":1782230537684,"version":"3.54.5"},"reference-count":34,"publisher":"MDPI AG","issue":"16","license":[{"start":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T00:00:00Z","timestamp":1723593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: The main purpose of this study is to determine, by anterior segment optical coherence tomography (AS-OCT), the anatomical characteristics, both preoperatively and postoperatively, that correlate with a higher rate of pterygium recurrence after surgery with exeresis and conjunctival autograft with biological glue. Methods: A total of 50 eyes which were listed for primary pterygium surgery at an ophthalmology tertiary centre were treated with standard pterygium excision and a conjunctival autograft with tissue glue. Ten variables were measured with AS-OCT (Casia 2; Tomey Corp., Nagoya, Japan) during six control visits with all patients. Finally, statistical analysis was performed using SPSS (SPSS stadistics\u00ae, IBM\u00ae, version 21.0.0.0) for descriptive variables and R-project (The R foundation\u00a9, version 3.0.2) for the rest of the analyses, including a descriptive analysis and an inferential analysis studying prognostic factors of recurrence and their predictive capacity. Results: Among the 50 patients who underwent surgery, recurrence was detected in 8 cases (rate 16%; 95% CI: 5.8\u201326.2%). Most cases (n = 6) were detected 3 months after surgery. The pattern of recurrences was atrophic in two thirds of the cases; none required reintervention. Preoperative total conjunctival thickness at 3 mm was significantly increased in patients who developed recurrence. One week after surgery, epithelial and stromal thickness at 1 mm and total thickness at 3 mm proved to be useful for predicting recurrence. Both models have significant discriminant capacity. Conclusions: By imaging the graft with AS-OCT preoperatively and 7 days after surgery, the risk of future recurrence can be predicted.<\/jats:p>","DOI":"10.3390\/jcm13164769","type":"journal-article","created":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T03:46:36Z","timestamp":1723607196000},"page":"4769","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Prospective Study: Utility of Anterior Segment Optical Coherence Tomography to Identify Predictive Factors of Recurrence in Pterygium Surgery"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9126-7944","authenticated-orcid":false,"given":"Marina","family":"Aguilar-Gonz\u00e1lez","sequence":"first","affiliation":[{"name":"Unit of Cornea and Anterior Eye Diseases, Fundaci\u00f3n de Oftalmolog\u00eda M\u00e9dica (FOM), C\/P\u00edo Baroja 12, 46015 Valencia, Spain"},{"name":"Hospital de Manises, Av. De la Generalitat Valenciana 50, 46949 Manises, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0809-8279","authenticated-orcid":false,"given":"Enrique","family":"Espa\u00f1a-Gregori","sequence":"additional","affiliation":[{"name":"Hospital Universitario y Polit\u00e9cnico La Fe, Av. Fernando Abril Martorell 106, 46026 Valensia, Spain"},{"name":"Department of Surgery, Ophthalmology, Universitat de Valencia, Avenida Blasco Ib\u00e1\u00f1ez 15, 46010 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Pascual-Camps","sequence":"additional","affiliation":[{"name":"Hospital Universitario y Polit\u00e9cnico La Fe, Av. Fernando Abril Martorell 106, 46026 Valensia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3346-8553","authenticated-orcid":false,"given":"Luis","family":"G\u00f3mez-Lech\u00f3n-Quir\u00f3s","sequence":"additional","affiliation":[{"name":"Hospital Francesc de Borja, Gand\u00eda, 46702 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5992-5006","authenticated-orcid":false,"given":"Cristina","family":"Peris-Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Unit of Cornea and Anterior Eye Diseases, Fundaci\u00f3n de Oftalmolog\u00eda M\u00e9dica (FOM), C\/P\u00edo Baroja 12, 46015 Valencia, Spain"},{"name":"Department of Surgery, Ophthalmology, Universitat de Valencia, Avenida Blasco Ib\u00e1\u00f1ez 15, 46010 Valencia, Spain"},{"name":"Avi\u00f1\u00f3 Peris Eye Clinic, Avenida del Oeste 34, 46001 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,8,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1016\/j.jtos.2014.01.001","article-title":"Surgical Management of Pterygium","volume":"12","author":"Janson","year":"2014","journal-title":"Ocul. 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