Biswas Mukul Chandra, Shaw Chittaranjan, Mandal Radhakrishna, Islam Md Nazrul, Chakroborty Milan
Department of Ophthalmology, NRS Medical College and Hospital, Kolkata 700014.
J Indian Med Assoc. 2007 Apr;105(4):200, 202, 204.
A total of 60 eyes with primary progressive pterygium were selected. They were randomly divided into two groups ie, group A and group B each consisting of 30 eyes. Group A patients were treated with pteryglum excision with ipsilateral conjunctival-limbal autografting. Group B patients were treated with pterygium excision followed by mitomycin C 0.02% for two minutes. Both groups were followed up for one year postoperatively to document recurrence rates and postoperative complications. In group A recurrence rate was 3.0% with minimal ocular complication after one year follow-up. But in group B recurrence rate was high as 10.0% and ocular complications were significant after the same period of postoperative follow-up. Both conjunctival-limbal autograft and intra-operative mitomycin use are effective method of surgical treatment of pterygium but considering the rate of recurrence and other postoperative ocular morbidity conjunctival-limbal autografting seems to be the best method of pterygium treatment.
共选取60例原发性进行性翼状胬肉患者的眼睛。将其随机分为两组，即A组和B组，每组30只眼。A组患者采用翼状胬肉切除术联合同侧结膜-角膜缘自体移植术治疗。B组患者采用翼状胬肉切除术，然后用0.02%的丝裂霉素C处理两分钟。两组患者术后均随访一年，记录复发率和术后并发症。A组随访一年后复发率为3.0%，眼部并发症极少。但B组复发率高达10.0%，在相同术后随访期后眼部并发症明显。结膜-角膜缘自体移植术和术中使用丝裂霉素都是治疗翼状胬肉的有效手术方法，但考虑到复发率和其他术后眼部发病率，结膜-角膜缘自体移植术似乎是治疗翼状胬肉的最佳方法。
