Mery G, Maalouf T, George J-L, Angioi K
Service d'Ophtalmologie, CHU Nancy-Brabois, Vandoeuvre-les-Nancy, France.
J Fr Ophtalmol. 2010 Feb;33(2):92-8. doi: 10.1016/j.jfo.2009.12.001. Epub 2010 Feb 4.
The aim of this study was to estimate the efficacy of limbal-conjunctival autograft in the treatment of pterygium.
We conducted a retrospective study including 15 patients (16 eyes) operated on for pterygium by limbal-conjunctival autograft. The examination included the search for risk factors and visual acuity, as well as corneal astigmatism and pterygium measurement. The follow-up included an examination at day 8, 1 month, and 3 months and assessed the integration of the transplant on the eye's surface, the aesthetic aspect, and recurrence. We describe the patients' characteristics, visual acuity, and astigmatism before and after surgery.
The mean age of the patients was 56 years (range, 31-81 years). Before surgery, irritative signs and astigmatism, were found in 37% and impaired visual acuity in 81%. The mean duration of the follow-up after surgery was 19 months. Visual acuity and astigmatism improved in 56% of our patients. All transplants and harvest sites had a satisfactory macroscopic aspect. However, one patient suffered from a corneal invasion by fibrovascular tissue, 7 months postoperatively, which remained stable at the end of follow-up.
DISCUSSION/CONCLUSION: In our study, the limbal-conjunctival autograft was a safe and effective surgical treatment with a very low recurrence rate at long-term follow-up.
本研究旨在评估自体角膜缘结膜移植治疗翼状胬肉的疗效。
我们进行了一项回顾性研究，纳入了15例（16只眼）接受自体角膜缘结膜移植治疗翼状胬肉的患者。检查包括寻找危险因素、视力、角膜散光以及翼状胬肉测量。随访包括术后第8天、1个月和3个月的检查，并评估移植片在眼表的整合情况、美观程度及复发情况。我们描述了患者手术前后的特征、视力和散光情况。
患者的平均年龄为56岁（范围31 - 81岁）。术前，37%的患者有刺激症状和散光，81%的患者视力受损。术后平均随访时间为19个月。56%的患者视力和散光得到改善。所有移植片和取材部位的外观均令人满意。然而，1例患者术后7个月发生角膜纤维血管组织侵入，随访结束时病情稳定。
讨论/结论：在我们的研究中，自体角膜缘结膜移植是一种安全有效的手术治疗方法，长期随访复发率极低。
