{"id":"https://openalex.org/W7223679527","doi":"https://doi.org/10.3892/br.2026.2220","title":"Clinical outcomes of Z\u2011shaped incision without epithelial resection in pterygium surgery: A multicenter study","display_name":"Clinical outcomes of Z\u2011shaped incision without epithelial resection in pterygium surgery: A multicenter study","publication_year":2026,"publication_date":"2026-10-26","ids":{"openalex":"https://openalex.org/W7223679527","doi":"https://doi.org/10.3892/br.2026.2220"},"language":"en","primary_location":{"id":"doi:10.3892/br.2026.2220","doi":"https://doi.org/10.3892/br.2026.2220","is_oa":true,"landing_page_url":"https://doi.org/10.3892/br.2026.2220","pdf_url":"http://www.spandidos-publications.com/10.3892/br.2026.2220/download","source":{"id":"https://openalex.org/S2754599785","display_name":"Biomedical Reports","issn_l":"2049-9434","issn":["2049-9434","2049-9442"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","norway-1","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320412","host_organization_name":"Spandidos Publishing","host_organization_lineage":["https://openalex.org/P4310320412"],"host_organization_lineage_names":["Spandidos Publishing"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Biomedical Reports","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"http://www.spandidos-publications.com/10.3892/br.2026.2220/download","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5121672971","display_name":"Satoru Kase","orcid":"https://orcid.org/0000-0003-3426-1674","observed_orcids":["https://orcid.org/0000-0003-3426-1674"]},"institutions":[{"id":"https://openalex.org/I64926303","display_name":"Nara Medical University","ror":"https://ror.org/045ysha14","country_code":"JP","type":"education","lineage":["https://openalex.org/I64926303"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Satoru Kase","raw_affiliation_strings":["Department of Ophthalmology, Nara Medical University, Kashihara, Nara 6348521, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Nara Medical University, Kashihara, Nara 6348521, Japan","institution_ids":["https://openalex.org/I64926303"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059699191","display_name":"Shinki Chin","orcid":"https://orcid.org/0000-0002-4302-7006","observed_orcids":["https://orcid.org/0000-0002-4302-7006"]},"institutions":[{"id":"https://openalex.org/I205349734","display_name":"Hokkaido University","ror":"https://ror.org/02e16g702","country_code":"JP","type":"education","lineage":["https://openalex.org/I205349734"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Shinki Chin","raw_affiliation_strings":["Department of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido 0640802, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido 0640802, Japan","institution_ids":["https://openalex.org/I205349734"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003365088","display_name":"Riki Kijima","orcid":"https://orcid.org/0000-0002-0861-3886","observed_orcids":["https://orcid.org/0000-0002-0861-3886"]},"institutions":[{"id":"https://openalex.org/I205349734","display_name":"Hokkaido University","ror":"https://ror.org/02e16g702","country_code":"JP","type":"education","lineage":["https://openalex.org/I205349734"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Riki Kijima","raw_affiliation_strings":["Department of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido 0640802, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido 0640802, Japan","institution_ids":["https://openalex.org/I205349734"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159674615","display_name":"Chiaki Yokoyama","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I205349734","display_name":"Hokkaido University","ror":"https://ror.org/02e16g702","country_code":"JP","type":"education","lineage":["https://openalex.org/I205349734"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Chiaki Yokoyama","raw_affiliation_strings":["Department of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido 0640802, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido 0640802, Japan","institution_ids":["https://openalex.org/I205349734"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051858966","display_name":"Junichi Fukuhara","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I205349734","display_name":"Hokkaido University","ror":"https://ror.org/02e16g702","country_code":"JP","type":"education","lineage":["https://openalex.org/I205349734"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Junichi Fukuhara","raw_affiliation_strings":["Department of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido 0640802, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido 0640802, Japan","institution_ids":["https://openalex.org/I205349734"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159601576","display_name":"Yusuke Aihara","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I205349734","display_name":"Hokkaido University","ror":"https://ror.org/02e16g702","country_code":"JP","type":"education","lineage":["https://openalex.org/I205349734"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yusuke Aihara","raw_affiliation_strings":["Department of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido 0640802, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido 0640802, Japan","institution_ids":["https://openalex.org/I205349734"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070310214","display_name":"Rina Kanaya","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I205349734","display_name":"Hokkaido University","ror":"https://ror.org/02e16g702","country_code":"JP","type":"education","lineage":["https://openalex.org/I205349734"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Rina Kanaya","raw_affiliation_strings":["Department of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido 0640802, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido 0640802, Japan","institution_ids":["https://openalex.org/I205349734"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113479990","display_name":"Michiyuki Saito","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I205349734","display_name":"Hokkaido University","ror":"https://ror.org/02e16g702","country_code":"JP","type":"education","lineage":["https://openalex.org/I205349734"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Michiyuki Saito","raw_affiliation_strings":["Department of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido 0640802, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido 0640802, Japan","institution_ids":["https://openalex.org/I205349734"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004633322","display_name":"Nobuyoshi Kitaichi","orcid":"https://orcid.org/0000-0002-8109-6918","observed_orcids":["https://orcid.org/0000-0002-8109-6918"]},"institutions":[{"id":"https://openalex.org/I163793406","display_name":"Health Sciences University of Hokkaido","ror":"https://ror.org/04tqcn816","country_code":"JP","type":"education","lineage":["https://openalex.org/I163793406"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Nobuyoshi Kitaichi","raw_affiliation_strings":["Department of Ophthalmology, Health Science University of Hokkaido, Sapporo, Hokkaido 0610293, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Health Science University of Hokkaido, Sapporo, Hokkaido 0610293, Japan","institution_ids":["https://openalex.org/I163793406"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5101472235","display_name":"Susumu Ishida","orcid":"https://orcid.org/0000-0001-6686-4168","observed_orcids":["https://orcid.org/0000-0001-6686-4168"]},"institutions":[{"id":"https://openalex.org/I205349734","display_name":"Hokkaido University","ror":"https://ror.org/02e16g702","country_code":"JP","type":"education","lineage":["https://openalex.org/I205349734"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Susumu Ishida","raw_affiliation_strings":["Department of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido 0640802, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido 0640802, Japan","institution_ids":["https://openalex.org/I205349734"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.87609717,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"25","issue":"6","first_page":"1","last_page":"8"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11828","display_name":"Corneal Surgery and Treatments","score":0.44510000944137573,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11828","display_name":"Corneal Surgery and Treatments","score":0.44510000944137573,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10563","display_name":"Corneal surgery and disorders","score":0.44339999556541443,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10997","display_name":"Ocular Surface and Contact Lens","score":0.026799999177455902,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pterygium-excision","display_name":"pterygium excision","score":0.8859999775886536},{"id":"https://openalex.org/keywords/clinical-outcomes","display_name":"clinical outcomes","score":0.8700000047683716},{"id":"https://openalex.org/keywords/conjunctival-surgery","display_name":"conjunctival surgery","score":0.5080000162124634}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8465999960899353},{"id":"https://openalex.org/C2992435398","wikidata":"https://www.wikidata.org/wiki/Q6934595","display_name":"Multicenter study","level":3,"score":0.7253000140190125},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6111000180244446},{"id":"https://openalex.org/C2778266423","wikidata":"https://www.wikidata.org/wiki/Q17142318","display_name":"Pterygium","level":2,"score":0.6017000079154968},{"id":"https://openalex.org/C159110652","wikidata":"https://www.wikidata.org/wiki/Q17078201","display_name":"Resection","level":2,"score":0.4255000054836273},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.36809998750686646},{"id":"https://openalex.org/C3020562746","wikidata":"https://www.wikidata.org/wiki/Q7446275","display_name":"Surgical resection","level":2,"score":0.36039999127388},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.28999999165534973},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.266400009393692},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.22910000383853912}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3892/br.2026.2220","doi":"https://doi.org/10.3892/br.2026.2220","is_oa":true,"landing_page_url":"https://doi.org/10.3892/br.2026.2220","pdf_url":"http://www.spandidos-publications.com/10.3892/br.2026.2220/download","source":{"id":"https://openalex.org/S2754599785","display_name":"Biomedical Reports","issn_l":"2049-9434","issn":["2049-9434","2049-9442"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","norway-1","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320412","host_organization_name":"Spandidos Publishing","host_organization_lineage":["https://openalex.org/P4310320412"],"host_organization_lineage_names":["Spandidos Publishing"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Biomedical Reports","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3892/br.2026.2220","doi":"https://doi.org/10.3892/br.2026.2220","is_oa":true,"landing_page_url":"https://doi.org/10.3892/br.2026.2220","pdf_url":"http://www.spandidos-publications.com/10.3892/br.2026.2220/download","source":{"id":"https://openalex.org/S2754599785","display_name":"Biomedical Reports","issn_l":"2049-9434","issn":["2049-9434","2049-9442"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","norway-1","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320412","host_organization_name":"Spandidos Publishing","host_organization_lineage":["https://openalex.org/P4310320412"],"host_organization_lineage_names":["Spandidos Publishing"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Biomedical Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.98580002784729,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223679527.pdf","grobid_xml":"https://content.openalex.org/works/W7223679527.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4400010419","https://openalex.org/W7154999242","https://openalex.org/W2095091295","https://openalex.org/W3032335778","https://openalex.org/W2054148824","https://openalex.org/W783230169","https://openalex.org/W4402147351","https://openalex.org/W4411880606","https://openalex.org/W1494650207","https://openalex.org/W1566652048"],"abstract_inverted_index":{"Our":[0],"previous":[1,243],"study":[2,33],"reported":[3],"a":[4],"novel":[5],"technique":[6,18,55],"for":[7,193,245],"pterygium":[8,50,85,100,213],"surgery:":[9],"A":[10],"Z-shaped":[11],"incision":[12],"without":[13,225],"epithelial":[14],"resection":[15],"(non-resection":[16],"technique).This":[17],"is":[19,256],"characterized":[20],"by":[21,112],"reduced":[22],"intraoperative":[23],"bleeding":[24],"and":[25,56,72,87,135,141,145,152,173,204,258,260],"easy":[26],"conjunctival-flap":[27],"creation.The":[28],"present":[29],"multicenter,":[30],"retrospective,":[31],"observational":[32],"aimed":[34],"to":[35,167,186,242],"determine":[36],"the":[37,41,53,93,109,113,119,122,132,205,233,236],"clinical":[38],"outcomes":[39],"of":[40,64,96,118,124,250],"non-resection":[42,54,237],"method":[43,238],"in":[44,138,150,178,198,218,223,248],"patients":[45,69,120],"with":[46,75,220],"pterygia.Patients":[47],"who":[48],"underwent":[49],"surgery":[51,125,185,192,247],"using":[52],"were":[57,61,77,90,129,148],"followed-up":[58],">6":[59],"months":[60,169],"included.A":[62],"total":[63],"127":[65],"eyes":[66,180,200,219,228],"from":[67,92,165,184,201],"117":[68],"(56":[70],"men":[71],"61":[73],"women)":[74],"pterygia":[76,147,195],"included.Clinical":[78],"data":[79],"such":[80],"as":[81],"patient":[82],"sex,":[83],"age,":[84],"size":[86,101,158,208,214],"postoperative":[88,174,251],"recurrence":[89,175,187,221,226,252],"retrieved":[91],"medical":[94],"records":[95],"seven":[97],"ophthalmic":[98],"centers.The":[99],"was":[102,126,159,176,188,196,209,215,239],"divided":[103],"into":[104],"four":[105],"grades":[106],"based":[107],"on":[108],"pupillary":[110],"coverage":[111],"pterygial":[114,157,207,246],"tissues.The":[115],"mean":[116,156,182,206],"age":[117],"at":[121,131],"time":[123],"73":[127],"years.Pterygia":[128],"located":[130],"nasal,":[133],"temporal":[134],"combined":[136],"sites":[137],"124,":[139],"0":[140],"3":[142,199,202],"eyes,":[143,154],"respectively.Primary":[144],"recurrent":[146,194],"observed":[149,197],"113":[151],"14":[153],"respectively.The":[155],"grade":[160,210],"2.6.The":[161],"follow-up":[162,234],"duration":[163,183],"ranged":[164],"6":[166],"82":[168],"(mean,":[170],"31":[171],"months),":[172],"noted":[177],"10":[179],"(7.9%).The":[181],"20":[189],"months.Recurrence":[190],"after":[191],"patients,":[203],"3.4.The":[211],"preoperative":[212],"significantly":[216],"greater":[217],"than":[222],"those":[224],"(P<0.01).No":[227],"exhibited":[229],"tumor":[230],"formation":[231],"during":[232],"periods.Although":[235],"not":[240],"superior":[241],"methods":[244],"terms":[249],"rates,":[253],"this":[254],"procedure":[255],"simple":[257],"safe":[259],"requires":[261],"no":[262],"additional":[263],"surgery.":[264]},"counts_by_year":[],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2026-10-27T00:00:00"}