Oguz H, Kilitcioglu A, Yasar M
Department of Ophthalmology, Harran University School of Medicine, Sanliurfa, Turkey.
Eur J Ophthalmol. 2006 Mar-Apr;16(2):209-13. doi: 10.1177/112067210601600203.
The aim of the present study was to evaluate limbal conjunctival mini-autografting procedure based on recurrence rates following pterygium surgery.
A total of 63 eyes (53 patients) with pterygium, of which 60 were primary and 3 were recurrent, underwent surgery for the removal of pterygia with limbal conjunctival mini-autograft. After the pterygium excision, the limbal portion of the graft was oriented and sutured to the limbus at the recipient bed with the epithelial surface upside. Recurrence was defined as fibrovascular tissue of more than 1 mm over the cornea in the area of previous pterygium excision. The mean follow-up period was 12.5 months (ranging between 6 and 29 months).
The time required for the surgery was approximately 30 minutes (range 20-40 minutes). Recurrence of pterygium was observed in 6 of 63 eyes (9.52%). No eyes with recurrent pterygium developed recurrence postoperatively. There were no severe complications during the operative and postoperative period. Most patients had temporary graft edema, lasting a few days after the operation, and they experienced and complained of foreign body sensations and epiphora.
Limbal conjunctival mini-autografting appears to be an effective procedure for pterygium surgery resulting in a low recurrence rate.
本研究旨在基于翼状胬肉手术后的复发率评估角膜缘结膜微小自体移植手术。
共有63只眼（53例患者）患有翼状胬肉，其中60只为原发性，3只为复发性，接受了角膜缘结膜微小自体移植切除翼状胬肉的手术。翼状胬肉切除后，将移植物的角膜缘部分定向并缝合到受体床的角膜缘，上皮面朝上。复发定义为在先前翼状胬肉切除区域角膜上超过1毫米的纤维血管组织。平均随访期为12.5个月（6至29个月）。
手术所需时间约为30分钟（范围20 - 40分钟）。63只眼中有6只（9.52%）观察到翼状胬肉复发。复发性翼状胬肉的眼中没有一只在术后复发。手术和术后期间没有严重并发症。大多数患者有暂时性移植物水肿，术后持续数天，他们感到并抱怨有异物感和流泪。
角膜缘结膜微小自体移植似乎是一种有效的翼状胬肉手术方法，复发率低。
