Koch J M, Mellin K B, Waubke T N
Universitäts-Augenklinik Essen.
Ophthalmologe. 1992 Apr;89(2):143-6.
Based on a new concept of the limbus as a junctional zone for separating the vascularized conjunctiva from the avascular cornea, this study presents conjunctival/limbal autograft transplantation for 22 cases of pterygium. The pterygia were primary in 17 eyes, cicatricial in 1 and recurrent in 4. In all cases a free transplant of the superotemperal limbus with an adjacent piece of thin conjunctiva was placed in the excision area. Postoperative follow-up ranged from 1 1/2 to 17 months, with a mean of 8.7 months. Only two pterygia recurred. In all other cases ideal anatomic reconstruction was achieved without any side effects. The authors believe that conjunctival/limbal transplantation is an encouraging technique for treating a pterygium surgically.
基于将角膜缘视为区分血管化结膜与无血管角膜的交界区这一新概念，本研究介绍了对22例翼状胬肉患者进行结膜/角膜缘自体移植的情况。其中17眼为原发性翼状胬肉，1眼为瘢痕性翼状胬肉，4眼为复发性翼状胬肉。所有病例均在切除区域植入了带有相邻小块薄结膜的颞上角膜缘游离移植片。术后随访时间为1.5至17个月，平均为8.7个月。仅2例翼状胬肉复发。在所有其他病例中均实现了理想的解剖重建，且无任何副作用。作者认为结膜/角膜缘移植是一种令人鼓舞的手术治疗翼状胬肉的技术。
