翼状胬肉切除术后带角膜缘固定缝线的角膜缘结膜自体移植的疗效和安全性。

Efficacy and safety of limbal-conjunctival autografting with limbal fixation sutures after pterygium excision.

机构信息

Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.

出版信息

Ophthalmologica. 2012;227(4):210-4. doi: 10.1159/000334526. Epub 2012 Feb 3.

DOI:10.1159/000334526

PMID:22310985

Abstract

PURPOSE

To evaluate the efficacy and safety of limbal-conjunctival autografting with limbal fixation sutures after pterygium excision.

METHODS

We retrospectively reviewed the records of 90 patients (103 eyes) who received limbal-conjunctival autografts with limbal fixation sutures after excision of the primary pterygium (82 eyes) and recurrent pterygium (21 eyes).

RESULTS

The study subjects comprised 41 male patients (47 eyes) and 49 female patients (56 eyes) with a mean age of 51.1 ± 10.5 years (range 32-77). The mean follow-up period was 18.9 ± 9.2 months (range 12-50). Among the 103 eyes, recurrence occurred in 2 eyes (1.9%) after 2 and 4 months, respectively. As complications, 1 case of conjunctival cyst and 2 cases of pseudopterygium at the donor site were reported.

CONCLUSIONS

Limbal-conjunctival autografting with limbal fixation sutures appears to be an effective and safe method of reducing the recurrence rate after pterygium excision.

摘要

目的

评估翼状胬肉切除术后带角膜缘固定缝线的角结膜自体移植的疗效和安全性。

方法

我们回顾性分析了 90 例（103 只眼）接受原发性翼状胬肉（82 只眼）和复发性翼状胬肉（21 只眼）切除术后带角膜缘固定缝线的角结膜自体移植的患者的病历。

结果

研究对象包括 41 名男性患者（47 只眼）和 49 名女性患者（56 只眼），平均年龄为 51.1±10.5 岁（范围 32-77）。平均随访时间为 18.9±9.2 个月（范围 12-50）。在 103 只眼中，分别有 2 只眼（1.9%）在术后 2 个月和 4 个月时复发。作为并发症，报道了 1 例结膜囊肿和 2 例供体部位假性胬肉。