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master's thesis
Kirurške tehnike operacije pterigija
Zagreb: University of Zagreb, School of Medicine, 2020. urn:nbn:hr:105:804087
Kottek, Tomislav
University of Zagreb
School of Medicine
Department of Ophthalmology and Optometry

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

Cite this document

Kottek, T. (2020). Kirurške tehnike operacije pterigija (Master's thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:804087

Kottek, Tomislav. "Kirurške tehnike operacije pterigija." Master's thesis, University of Zagreb, School of Medicine, 2020. https://urn.nsk.hr/urn:nbn:hr:105:804087

Kottek, Tomislav. "Kirurške tehnike operacije pterigija." Master's thesis, University of Zagreb, School of Medicine, 2020. https://urn.nsk.hr/urn:nbn:hr:105:804087

Kottek, T. (2020). 'Kirurške tehnike operacije pterigija', Master's thesis, University of Zagreb, School of Medicine, accessed 04 May 2024, https://urn.nsk.hr/urn:nbn:hr:105:804087

Kottek T. Kirurške tehnike operacije pterigija [Master's thesis]. Zagreb: University of Zagreb, School of Medicine; 2020 [cited 2024 May 04] Available at: https://urn.nsk.hr/urn:nbn:hr:105:804087

T. Kottek, "Kirurške tehnike operacije pterigija", Master's thesis, University of Zagreb, School of Medicine, Zagreb, 2020. Available at: https://urn.nsk.hr/urn:nbn:hr:105:804087

Metadata
TitleKirurške tehnike operacije pterigija
Title (english)Surgical techniques of pterygium surgery
AuthorTomislav Kottek
MentorMiro Kalauz (mentor)
Committee memberTomislav Jukić (predsjednik povjerenstva)
Committee memberNenad Vukojević (član povjerenstva)
Committee memberMiro Kalauz (član povjerenstva)
GranterUniversity of Zagreb
School of Medicine
(Department of Ophthalmology and Optometry)
Zagreb
Defense date and country2020-07-17, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Ophthalmology
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
Abstract
Pterigij oka je benigna fibrovaskularna masa trokutastog oblika koja se u pravilu nalazi s nazalne strane vjeđnog rasporka. Smatra se degenerativnom promjenom vezivnog tkiva spojnice, ali sadrži i značajke proliferativnog procesa. Nastanak pterigija povezan je s pretjeranom izloženošću sunčevim zrakama, kroničnim vanjskim podražajem, genetikom, starijom dobi i muškim spolom. Može biti asimptomatski, no najčešće su prisutni simptomi poput osjećaja stranog tijela u oku, crvenila, pečenja i suzenja oka, koji se mogu ublažiti simptomatskim lijekovima. Proliferacijom se može širiti na rožnicu te uzrokovati vidne smetnje. S obzirom da se radi o promjeni koja ima tendenciju rasta, liječenje pterigija je kirurško, no zbog velike sklonosti recidiviranju eksciziji je potrebno pristupiti samo u određenim slučajevima poštujući indikacije za kirurški zahvat. Postoji više tehnika operacije pterigija od kojih su ovom radu izdvojene: tehnika gole sklere, tehnika primarnog zatvaranja, konjunktivalni presadak, limbalni konjunktivalni presadak, konjunktivalni poklopac, transplantacija amnijske membrane, lamelarna keratoplastika. Svaka od tehnika ima svojih prednosti i mana, a obično se kombiniraju s adjuvantnom terapijom radi smanjenja pojave recidiva. Danas se najboljim izborom smatra tehnika konjunktivalnog presatka, ali izbor same tehnike ovisi o više čimbenika, ponajprije o pacijentovom statusu oka.
Abstract (english)
Pterygium of the eye is a triangular shaped benign fibrovascular mass that typically occurs in the nazal side of the intepalpebral fissure. It is considered as a degenerative transformation of the conjunctival connective tissue, with some elements of proliferative process. Development of the pterygium is associated with excessive exposure to sunlight, chronic external irritants, genetics, older age and male sex. Patients usually experience symptoms such as foreign body sensation, redness, burning sensation and tearing, which can be alleviated with symptomatic cures. Also, vision could be impaired by growing of the pterygium onto the corneal surface. Pterygium is treated surgically, but considering it's tendency to recur, excision should be done only in certain cases following surgical indications. There are several techniques of pterygium surgery analized in this paper such as bare sclera technique, primary closure, conjunctival autograft, limbal conjunctival autograft, conjunctival flap, amniotic membrane transplantation, lamellar keratoplasty. Techniques are usually combined with adjuvant therapy in an attempt to reduce the risk of recurrence. Every technique has advantages and disadvantages, but conjunctival autograft technique is considered as the best choice amongst others. The selection of the technique depends on several factors, primarily on the patient status of the eye.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:105:804087
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2021-04-12 11:05:16