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翼状胬肉手术的角膜-结膜自体移植术

Corneo-conjunctival autograft transplantation for pterygium surgery.

作者信息

Frau Eric, Labétoulle Marc, Lautier-Frau Marie, Hutchinson Sacha, Offret Hervé

机构信息

Institute Gustave Roussy, Villejuif, France.

出版信息

Acta Ophthalmol Scand. 2004 Feb;82(1):59-63. doi: 10.1111/j.1600-0420.2004.0185.x.

DOI:10.1111/j.1600-0420.2004.0185.x
PMID:14738487
Abstract

PURPOSE

To evaluate the efficacy of surgical management of pterygium with corneo-conjunctival autograft transplantation.

SETTING

Ophthalmology Department, Bicêtre Hospital, University Paris XI and the Assistance Publique Hôpitaux de Paris, France.

METHODS

The records of 104 patients (114 eyes), comprising 40 women and 64 men, who underwent corneo-conjunctival autograft transplantation for primary (104 eyes) and recurrent (10 eyes) pterygia between 1992 and 1998, were reviewed in a retrospective survey. Follow-up ranged from 12 to 78 months (mean 22.5 months).

RESULTS

All grafts were planted promptly and donor sites re-epithelialized with no excessive scar tissue formation. No recurrence was noted. Improvement of visual acuity was achieved in 24 patients and stabilization was achieved in 76 patients. The main complication was progression of corneal astigmatism exceeding 4 dioptres in two patients.

CONCLUSION

These results indicate that corneo-conjunctival autograft transplantation is an effective treatment for pterygia.

摘要

目的

评估角膜结膜自体移植术治疗翼状胬肉的疗效。

背景

法国巴黎第十一大学比塞特医院眼科以及巴黎公立医院集团。

方法

回顾性调查1992年至1998年间104例(114眼)接受角膜结膜自体移植术治疗原发性(104眼)和复发性(10眼)翼状胬肉患者的记录,其中女性40例,男性64例。随访时间为12至78个月(平均22.5个月)。

结果

所有移植片均及时植入,供体部位重新上皮化,无过多瘢痕组织形成。未观察到复发情况。24例患者视力提高,76例患者视力稳定。主要并发症是2例患者角膜散光进展超过4屈光度。

结论

这些结果表明角膜结膜自体移植术是治疗翼状胬肉的有效方法。

相似文献

1
Corneo-conjunctival autograft transplantation for pterygium surgery.翼状胬肉手术的角膜-结膜自体移植术
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[Limbal-conjunctival autograft in pterygium surgery].[翼状胬肉手术中的角膜缘结膜自体移植术]
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Conjunctival autograft for pterygium surgery: how well does it prevent recurrence?翼状胬肉手术的结膜自体移植:预防复发的效果如何?
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Inferior limbal-conjunctival autograft transplantation for recurrent pterygium.自体下睑缘-结膜移植治疗复发性翼状胬肉
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引用本文的文献

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Recurrence rate with inferior conjunctival autograft transplantation compared with superior conjunctival autograft transplantation in pterygium surgery: a meta-analysis.翼状胬肉手术中自体下结膜移植与自体上结膜移植相比的复发率:一项荟萃分析。
BMC Ophthalmol. 2021 Mar 9;21(1):131. doi: 10.1186/s12886-021-01889-4.
2
Efficacy of bevacizumab injection after pterygium excision and limbal conjunctival autograft with limbal fixation suture.翼状胬肉切除联合带角膜缘固定缝线的自体角膜缘结膜移植术后注射贝伐单抗的疗效
Graefes Arch Clin Exp Ophthalmol. 2020 Jul;258(7):1451-1457. doi: 10.1007/s00417-020-04704-w. Epub 2020 Apr 24.
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Triple subconjunctival bevacizumab injection for early corneal recurrent pterygium: one-year follow-up.
结膜下注射三次贝伐单抗治疗早期复发性角膜翼状胬肉:一年随访
J Ocul Pharmacol Ther. 2015 Mar;31(2):106-13. doi: 10.1089/jop.2014.0060. Epub 2014 Nov 4.
4
Astigmatic changes following pterygium removal: comparison of 5 different methods.翼状胬肉切除术后的散光变化:5 种不同方法的比较。
Indian J Ophthalmol. 2013 Mar;61(3):104-8. doi: 10.4103/0301-4738.109379.
5
Corneal melting two weeks after pterygium excision with topical mitomycin C: successfully treated with lamellar keratoplasty and amnion membrane transplantation.翼状胬肉切除联合局部丝裂霉素C治疗两周后角膜溶解:经板层角膜移植术和羊膜移植术成功治愈。
Case Rep Ophthalmol. 2012 Jan;3(1):24-9. doi: 10.1159/000336452. Epub 2012 Jan 31.