Syam Padmanabha Pillai, Eleftheriadis Haralabos, Liu Christopher S C
Sussex Eye Hospital, Brighton, England.
Ophthalmology. 2003 Apr;110(4):806-10. doi: 10.1016/S0161-6420(02)01970-X.
Superior conjunctival graft is commonly used in pterygium surgery, which may adversely affect the outcome of future filtration surgery. We retrospectively studied the success rate of inferior conjunctival autografting for primary pterygia in our unit.
A noncomparative, retrospective, interventional case series.
Thirty eyes of 27 patients treated between August 1996 and February 2001 with primary pterygia.
Excision of pterygium followed by conjunctival autograft harvested from the inferior bulbar conjunctiva. Surgeries were performed by an experienced surgeon (CL) in 23 patients and by trainees in the remaining four cases.
Recurrence of the pterygium and complications.
Mean follow-up was 27 months (range, 8-53). Recurrence occurred in one eye (3.3%). This was a white female in her early fifties, with recurrence detected 3 months after the surgery. Conjunctival scarring at the donor site was observed in 11 eyes (36.66%). There was no symblepharon formation. There was no restriction of up gaze. Hemorrhage under the conjunctival graft developed in three eyes, corneal dellen near the limbus developed in four eyes, and epithelial inclusion cysts at the recipient site developed in two eyes.
Inferior conjunctival autografting is an effective technique with a low recurrence rate. This is a useful technique in cases in which it is not possible or desirable to use the superior conjunctiva as a donor source.
上结膜移植常用于翼状胬肉手术，这可能会对未来的滤过性手术结果产生不利影响。我们回顾性研究了本单位采用下结膜自体移植治疗原发性翼状胬肉的成功率。
非对照、回顾性、干预性病例系列研究。
1996年8月至2001年2月期间接受原发性翼状胬肉治疗的27例患者的30只眼。
切除翼状胬肉后，取自下睑结膜的结膜自体移植。23例患者由经验丰富的外科医生（CL）进行手术，其余4例由实习医生进行手术。
翼状胬肉复发和并发症。
平均随访27个月（范围8 - 53个月）。1只眼（3.3%）复发。这是一名50岁出头的白人女性，术后3个月发现复发。11只眼（36.66%）在供体部位观察到结膜瘢痕形成。没有睑球粘连形成。上视无受限。3只眼结膜移植下出现出血，4只眼角膜缘附近出现角膜小凹，2只眼受体部位出现上皮植入囊肿。
下结膜自体移植是一种有效的技术，复发率低。在无法或不宜以上结膜作为供体来源的情况下，这是一种有用的技术。
