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微创翼状胬肉手术:使用羊膜和水凝胶密封剂的无缝合切除术

Minimally Invasive Pterygium Surgery: Sutureless Excision with Amniotic Membrane and Hydrogel Sealant.

作者信息

Bondalapati Sailaja, Ambati Balamurali

机构信息

Medical student Research Fellow, University of Utah, Salt Lake City, Utah, USA.

Department of Ophthalmology, Moran Eye Center, University of Utah, Salt Lake City, Utah, USA.

出版信息

Case Rep Ophthalmol. 2016 Feb 4;7(1):79-84. doi: 10.1159/000444076. eCollection 2016 Jan-Apr.

Abstract

PURPOSE

To describe a novel technique for sutureless pterygium surgery using ReSure(®) tissue sealant.

METHODS

In this retrospective observational case series, we describe a modified procedure for pterygium excision followed by amniotic membrane transplant (AMT) adhered to the corneal and conjunctival defects using ReSure tissue sealant.

RESULTS

Nine eyes of seven patients (age range: 28-80 years, 4 females and 3 males) underwent pterygium removal with AMT followed by adherence of tissue to the conjunctival edges with ReSure. No issues with transplant dislocation or failure and no intra- or postoperative complications were noted. No recurrences were noted during the follow-up period.

CONCLUSION

ReSure may be considered as a potential sealant to adhere AMT to defective corneal and conjunctival tissues in sutureless pterygium surgery.

摘要

目的

描述一种使用ReSure(®)组织密封剂进行无缝线翼状胬肉手术的新技术。

方法

在这个回顾性观察病例系列中,我们描述了一种改良的翼状胬肉切除手术,随后使用ReSure组织密封剂将羊膜移植(AMT)粘附于角膜和结膜缺损处。

结果

7例患者的9只眼(年龄范围:28 - 80岁,4例女性和3例男性)接受了翼状胬肉切除联合AMT手术,随后使用ReSure将组织粘附于结膜边缘。未发现移植移位或失败问题,也未观察到术中或术后并发症。随访期间未发现复发情况。

结论

在无缝线翼状胬肉手术中,ReSure可被视为一种将AMT粘附于角膜和结膜缺损组织的潜在密封剂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c309/4772609/2edb33dab496/cop-0007-0079-g01.jpg

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