Hirst Lawrence W
University of Queensland, Divison of Ophthalmology, Princess Alexandra Hospital, Ipswich Road, Woolloongabba 7, Queensland 4102, Australia.
Surv Ophthalmol. 2003 Mar-Apr;48(2):145-80. doi: 10.1016/s0039-6257(02)00463-0.
The treatment of pterygium is still quite controversial, with various treatments being advocated in the scientific literature. Unfortunately, there are very few well-conducted controlled clinical trials of treatments. However, years of anecdotal and noncontrolled studies have confirmed that some methods, such as bare scleral closure, are no longer acceptable in the treatment of pterygium and that other methods are likely to be more useful. In the future it will be important to develop a grading system, and surgeons will need to be conservative in the treatment of pterygium until such time as a single treatment provides a lower recurrence rate and complication rate.
翼状胬肉的治疗仍颇具争议，科学文献中提倡多种治疗方法。遗憾的是，针对治疗方法的高质量对照临床试验非常少。然而，多年的轶事性和非对照研究证实，一些方法，如单纯巩膜封闭术，在翼状胬肉治疗中已不再适用，而其他方法可能更有用。未来，建立一个分级系统将很重要，并且在单一治疗方法能提供更低的复发率和并发症率之前，外科医生在翼状胬肉的治疗上需要保持保守。
