自体下睑缘-结膜移植治疗复发性翼状胬肉
Inferior limbal-conjunctival autograft transplantation for recurrent pterygium.
作者信息
Wong A K, Rao S K, Leung A T, Poon A S, Lam D S
机构信息
Department of Ophthalmology and Visual Sciences, Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong.
出版信息
Indian J Ophthalmol. 2000 Mar;48(1):21-4.
PURPOSE
To study the safety and efficacy of inferior limbal-conjunctival autograft (LCAT) transplantation in the surgical management of recurrent pterygium.
METHODS
Prospective non-comparative case series. Inferior limbal-conjunctival autografting was performed on 11 patients (11 eyes) with recurrent pterygium. Pterygium recurrence was considered a surgical failure.
RESULTS
Recurrence of pterygium was noted in two (18.2%) eyes, after a mean follow up of 16.2 +/- 0.9 months (range: 10-19 months). Neither recurrence required further surgical treatment. Nonprogressive pseudopterygium formation was noted at the donor site in five (45.5%) eyes.
CONCLUSION
Inferior LCAT appears to be a safe and effective option in the management of recurrent pterygium. In patients with suspected or proven glaucoma, this may be the procedure of choice, if mitomycin C is contraindicated.
目的
研究自体下睑缘-结膜移植术（LCAT）治疗复发性翼状胬肉的安全性和有效性。
方法
前瞻性非对照病例系列研究。对11例（11眼）复发性翼状胬肉患者行自体下睑缘-结膜移植术。翼状胬肉复发被视为手术失败。
结果
平均随访16.2±0.9个月（范围：10 - 19个月）后，2只眼（18.2%）出现翼状胬肉复发。两次复发均无需进一步手术治疗。5只眼（45.5%）的供体部位出现非进行性假性胬肉形成。
结论
自体下睑缘-结膜移植术似乎是治疗复发性翼状胬肉的一种安全有效的选择。对于疑似或确诊青光眼且丝裂霉素C禁忌的患者，这可能是首选的手术方法。
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