Pérez-Silguero D, Díaz-Ginory A, Santana-Rodríguez C, Pérez-Silguero M A
Servicio de Oftalmología, Fundación San José, Las Palmas de Gran Canaria, España.
Sección de Ética y Deontología, Delegación Canaria, Universidad Fernando Pessoa, Las Palmas de Gran Canaria, España.
Arch Soc Esp Oftalmol. 2014 Jan;89(1):35-7. doi: 10.1016/j.oftal.2012.09.014. Epub 2012 Dec 23.
OBJECTIVE/METHOD: The purpose of the study is to evaluate those cases of pterygium surgery with fibrin sealant that produced dehiscence of the graft, and then apply and evaluate the efficacy of a different surgical technique in an attempt eliminate this complication in previously identified cases of high risk. The first phase is a retrospective study of 42 cases of pterygium surgery. In the second phase, the variation in the surgical technique was prospectively used in 14 cases of pterygium surgery.
RESULTS/CONCLUSIONS: Cases of recurrent pterygium, broad pterygium, and complicated surgery were identified as the groups with a risk of suffering dehiscence of the graft. With the variant applied surgery no dehiscence occurred when using the variation in surgical technique, with no added complications.
目的/方法：本研究旨在评估那些使用纤维蛋白密封剂进行翼状胬肉手术但发生移植片裂开的病例，然后应用并评估一种不同的手术技术的疗效，试图在先前确定的高风险病例中消除这种并发症。第一阶段是对42例翼状胬肉手术病例进行回顾性研究。在第二阶段，前瞻性地将手术技术的变化应用于14例翼状胬肉手术。
结果/结论：复发性翼状胬肉、广泛性翼状胬肉和复杂手术病例被确定为有移植片裂开风险的组。采用手术技术变化的改良手术在使用该技术时未发生裂开，也未增加并发症。
