Rao S K, Lekha T, Mukesh B N, Sitalakshmi G, Padmanabhan P
Medical Research Foundation, Chennai, India.
Indian J Ophthalmol. 1998 Dec;46(4):203-9.
Our technique of pterygium excision with conjunctival-limbal autografting is described and the safety and efficacy of the procedure in India is analysed. Case records of 51 consecutive patients (53 eyes) who underwent surgery at our institute between November 1992 and September 1994 were retrospectively analysed. Recurrence was defined as fibrovascular tissue crossing the corneoscleral limbus onto clear cornea in the area of previous pterygium excision. 2 (3.8%) of the 53 pterygia (primary 36; recurrent 17) recurred, after a mean follow up of 18.9 +/- 12.1 months (range: 1.5-43 months). Both recurrences occurred within a year of follow up, in patients who were < or = 40 years of age. No major operative or postoperative complications were encountered. The inclusion of limbal tissue in conjunctival autografts following pterygium excision appears to be essential to ensure low recurrence rates. The technique is safe, simple and inexpensive and is recommended for the management of both primary and recurrent pterygia in Indian eyes.
我们描述了翼状胬肉切除联合结膜-角膜缘自体移植术，并分析了该手术在印度的安全性和有效性。对1992年11月至1994年9月间在我院接受手术的51例连续患者（53只眼）的病例记录进行了回顾性分析。复发定义为在先前翼状胬肉切除区域出现纤维血管组织越过角巩膜缘延伸至透明角膜。53例翼状胬肉（原发性36例；复发性17例）中，2例（3.8%）复发，平均随访18.9±12.1个月（范围：1.5 - 43个月）。2例复发均发生在随访1年内，患者年龄≤40岁。未遇到重大手术或术后并发症。翼状胬肉切除术后结膜自体移植中包含角膜缘组织似乎对于确保低复发率至关重要。该技术安全、简单且费用低廉，推荐用于印度人群原发性和复发性翼状胬肉的治疗。
