用于伴有囊肿的原发性翼状胬肉的新型无缝合移植术。
Novel sutureless transplantation for primary pterygium associated with cysts.
作者信息
Shao Yi, Zhou Xin, Yu Yao, Pei Chong-Gang, Zhou Qiong, Li Juan, Yang Lu, Dong Wen-Jia, Yi Jing-Lin
机构信息
Department of Ophthalmology, the First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.
出版信息
Int J Ophthalmol. 2011;4(3):280-3. doi: 10.3980/j.issn.2222-3959.2011.03.14. Epub 2011 Jun 18.
AIM
To evaluate the efficacy and safety of a novel sutureless AMT (amniotic membrane transplantation) or CAT (conjunctivolimbal autograft transplantation) using fibrin glue for reconstructing corneoconjunctival surfaces for primary pterygium associated with cysts.
METHODS
A prospective descriptive study was made of the period 1 January 2006-1 May 2009. Nine patients with primary pterygium associated with cysts underwent pterygium and cyst excision followed by sutureless AMT or CAT using fibrin glue.
RESULTS
During a mean follow-up of 8.00±0.67 months, all eyes maintained a smooth and stable corneal epithelial surface without recurrent erosion or persistent epithelial defect. The limbal donor site showed the presence of mild depressions without the formation of pseudopterygium. All eyes have good tear secretion function, tear film stability and ocular motility.
CONCLUSION
Sutureless transplantation using fibrin glue is safe and effective for restoring a stable corneoconjunctival epithelium in primary pterygium associated with cysts.
目的
评估一种新型的使用纤维蛋白胶的无缝合羊膜移植术（AMT）或自体结膜角膜缘移植术（CAT）用于重建伴有囊肿的原发性翼状胬肉的角膜结膜表面的有效性和安全性。
方法
对2006年1月1日至2009年5月1日期间进行前瞻性描述性研究。9例伴有囊肿的原发性翼状胬肉患者接受了翼状胬肉和囊肿切除术，随后使用纤维蛋白胶进行无缝合AMT或CAT。
结果
在平均8.00±0.67个月的随访期间，所有术眼均保持角膜上皮表面光滑稳定，无复发性糜烂或持续性上皮缺损。角膜缘供体部位有轻度凹陷，但未形成假性翼状胬肉。所有术眼均有良好的泪液分泌功能、泪膜稳定性和眼球运动。
结论
使用纤维蛋白胶的无缝合移植术对于恢复伴有囊肿的原发性翼状胬肉稳定的角膜结膜上皮是安全有效的。
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