Troutbeck R, Hirst L
Department of Surgery, University of Queensland, Princess Alexandra Hospital, Woolloongabba, Australia.
Clin Exp Ophthalmol. 2001 Oct;29(5):286-90. doi: 10.1046/j.1442-9071.2001.00435.x.
To assess the practices in pterygium removal as a follow-up study to a similar project 10 years ago, in order to compare the current trends with those noted a decade ago.
A survey was sent to all practising ophthalmologists in Queensland (100).
Eighty-seven of the 100 ophthalmologists undertook pterygium surgery with no change in indications for removal, grading or anaesthesia compared to 10 years ago. Nearly half of the ophthalmologists varied their surgical technique from eight commonly used methods according to the individual patient. More than half the respondents used a swinging conjunctival flap and 29% used simple excision leaving the area bare for primary pterygia, although nearly one-quarter of the ophthalmologists added adjunctive therapies such as beta irradiat on or mitomycin. For recurrent pterygia, one-third of ophthalmologists preferred adjunctve therapies, and 57% used an autoconjunctival transplant.
There has been no consistent trend in surgical removal of pterygia with a significant number of primary pterygia still removed using bare scleral closure.
作为对10年前一个类似项目的后续研究，评估翼状胬肉切除术的实施情况，以便将当前趋势与10年前记录的趋势进行比较。
向昆士兰州所有执业眼科医生（共100人）发送了一份调查问卷。
100名眼科医生中有87人进行翼状胬肉手术，与10年前相比，切除指征、分级或麻醉方式均无变化。近一半的眼科医生根据个体患者情况，在8种常用手术方法中选择不同的手术技术。超过一半的受访者采用结膜瓣转位术，29%的人对原发性翼状胬肉采用单纯切除，使手术区域裸露，不过近四分之一的眼科医生会加用辅助治疗，如β射线照射或丝裂霉素。对于复发性翼状胬肉，三分之一的眼科医生倾向于采用辅助治疗，57%的人采用自体结膜移植术。
翼状胬肉手术切除方式没有一致的趋势，仍有相当数量的原发性翼状胬肉采用裸露巩膜封闭术切除。
