Misericordia Hospital, Grosseto, Italy.
Cornea. 2010 Nov;29(11):1211-4. doi: 10.1097/ICO.0b013e3181d5d96d.
To determine the recurrence rate after pterygium excision with ipsilateral conjunctival autograft using fibrin glue.
One hundred eleven eyes of 92 patients operated for primary pterygium were retrospectively evaluated for recurrence rate and intraoperative and postoperative complications. Pterygia were preoperatively divided in atrophic/grade 1 (n = 2; 1.80%), intermediate/grade 2 (n = 85; 76.58%), or fleshy/grade 3 (n = 24; 21.62%) types. All patients were operated using an ipsilateral conjunctival autograft fixed with fibrin glue. Only patients with 2-year follow-up were included in this study.
Two years after surgery, the mean recurrence rate was 4.50% (n = 5). No intraoperative complications were noted. Postsurgical complications were graft pseudoedema (n = 45; 40.54%), graft retraction (n = 3; 2.70%), and donor site granuloma (n = 1; 0.90%).
Fibrin glue-assisted ipsilateral conjunctival autograft seems to be safe and efficacious and associated with a low rate of recurrence.
确定使用纤维蛋白胶行同侧结膜自体移植后翼状胬肉切除的复发率。
回顾性评估了 92 例 111 只眼原发性翼状胬肉患者的复发率及术中、术后并发症。术前将翼状胬肉分为萎缩/1 级（n=2；1.80%）、中间/2 级（n=85；76.58%）或肉状/3 级（n=24；21.62%）。所有患者均采用同侧结膜自体移植，用纤维蛋白胶固定。本研究仅纳入随访 2 年的患者。
术后 2 年，平均复发率为 4.50%（n=5）。术中无并发症。术后并发症包括移植物假性水肿（n=45；40.54%）、移植物回缩（n=3；2.70%）和供体部位肉芽肿（n=1；0.90%）。
纤维蛋白胶辅助同侧结膜自体移植安全有效，复发率低。
