Das Sujata, Ramamurthy Balasubramanya, Sangwan Virender S
L. V Prasad Eye Institute, Hyderabad, India.
Ophthalmic Surg Lasers Imaging. 2009 Jan-Feb;40(1):43-5. doi: 10.3928/15428877-20090101-06.
The authors report a case of recurrent advanced pterygium managed by deep lamellar keratoplasty and conjunctival autograft. A woman presented with bilateral recurrent advanced pterygium (more prevalent in the left eye) associated with corneal thinning in the left eye. Two-thirds of the cornea was covered by pterygia. Her visual acuity was counting fingers at 1 meter in the right eye and light perception with projection of rays being accurate in all quadrants in the left eye. She underwent deep anterior lamellar keratoplasty and conjunctival autograft in her left eye. Clarity, state of corneal graft, and postoperative visual acuity were noted. The graft was clear and the patient's best-corrected visual acuity improved to 20/60 after the surgery. Deep lamellar keratoplasty with conjunctival autograft is a good option as a single-stage surgery for recurrent advanced pterygium.
作者报告了一例采用深板层角膜移植术和自体结膜移植术治疗复发性晚期翼状胬肉的病例。一名女性患者双侧复发性晚期翼状胬肉（左眼更为常见），左眼伴有角膜变薄。三分之二的角膜被翼状胬肉覆盖。她的右眼视力为1米指数，左眼光感且各象限光线投射准确。她接受了左眼深前板层角膜移植术和自体结膜移植术。记录了移植片的清晰度、角膜移植状态和术后视力。移植片清晰，术后患者最佳矫正视力提高到20/60。深板层角膜移植术联合自体结膜移植术作为复发性晚期翼状胬肉的单阶段手术是一个不错的选择。
