Duman Fulya, Köşker Mustafa
Atatürk State Hospital, Clinic of Ophthalmology, Antalya, Turkey.
Ulus State Hospital, Clinic of Ophthalmology, Ankara, Turkey.
Turk J Ophthalmol. 2015 Dec;45(6):249-253. doi: 10.4274/tjo.56514. Epub 2015 Dec 5.
To analyze demographic and ophthalmologic characteristics of patients with double-headed pterygium in the Mediterranean region of Turkey and to evaluate their surgical outcomes.
Records of all patients who underwent surgery for pterygium in Antalya Atatürk State Hospital between November 2012 and March 2014 were retrospectively reviewed. Patients with pterygia on both sides of the cornea (nasal and temporal) were included in the study. Patients with less than six months of follow-up were excluded. Age, occupation and smoking status of patients, recurrence of pterygium and any existing complications in records were evaluated. Fibrovascular proliferation more than 0.5 mm over the cornea was accepted as recurrence.
Eight (5%) of 158 patients who underwent pterygium surgery were diagnosed with double-headed pterygium. Six (75%) of the patients were male and two (25%) were female. Mean age was 42.63 (26-71) years. It was recorded that all patients had worked under the sun for at least 5 hours a day. No intra-operative or post-operative complications were found. Mean follow-up time after surgery was 12 (6-21) months and no recurrence was detected.
Pterygium, especially double-headed pterygium is mostly seen in warm climates and individuals who work outdoors. Dividing the free conjunctival autograft into two and suturing in place of the excised pterygium on both sides of the cornea is a good choice in these patients.
分析土耳其地中海地区双头翼状胬肉患者的人口统计学和眼科特征，并评估其手术效果。
回顾性分析2012年11月至2014年3月在安塔利亚阿塔图尔克国立医院接受翼状胬肉手术的所有患者的记录。纳入角膜两侧（鼻侧和颞侧）均有翼状胬肉的患者。排除随访时间少于6个月的患者。评估患者的年龄、职业和吸烟状况、翼状胬肉复发情况以及记录中存在的任何并发症。角膜上纤维血管增生超过0.5mm被视为复发。
158例接受翼状胬肉手术的患者中有8例（5%）被诊断为双头翼状胬肉。其中男性6例（75%），女性2例（25%）。平均年龄为42.63（26 - 71）岁。记录显示所有患者每天在阳光下工作至少5小时。未发现术中或术后并发症。术后平均随访时间为12（6 - 21）个月，未检测到复发。
翼状胬肉，尤其是双头翼状胬肉多见于温暖气候地区和户外工作者。将游离结膜自体移植片分成两片并缝合在角膜两侧切除的翼状胬肉部位，对这些患者来说是一个不错的选择。
