Abstract
Pterygium is a benign conjunctivo-elastic neoformation of the ocular surface with a triangular shape, canthal base and corneal apex. It extends into the area of the palpebral cleft, preferably in the nasal sector, towards the corneal apex. It is therefore easy to imagine the harmful consequences of its progression on vision The distribution of pterygium is global, but its prevalence is higher in hot, dry climates. Populations living in warm, desert environments, located in peri-equatorial regions at latitudes of 37° north and south of the equator and highly exposed to ultraviolet radiation are at higher risk of developing this disease During our study, we collected 83 cases of pterygium, a frequency of 0.36%. More than half, or 70%, of our patients were women with a sex ratio M/F: 0.36. The age group over 60 years old was the most represented with 26.51%. Itching dominated the warning signs with 36.14%. Stage II was in the majority with 51.81%. Nasal pterygium was the most common with 90%. All our patients have benefited from an excision of the pterygium with autograft of the same eye. We recorded 7 cases of recidivism, i.e. 8.43%. Pterygium, although benign, is a public health problem since, for any type of surgery involved, it is impossible to avoid recurrences, which characterize the disease. In Bamako, at the hospital of the district of commune VI, the evolution was unpredictable but seems more favorable with the limboconjunctival autograft Keywords: surgery, pterygium, commune VI, Bamako.
Published Version
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