Bilge Ayse Dolar
Emsey Hospital, Ophthalmology Department, Istanbul, Turkey.
Saudi J Ophthalmol. 2018 Apr-Jun;32(2):110-113. doi: 10.1016/j.sjopt.2017.11.002. Epub 2017 Nov 15.
To investigate and compare the efficacy of conjunctival autograft and conjunctival transpositional flap for the treatment of primary pterygium surgery.
Retrospective, interventional case series analysis.
Medical records of 48 patients who underwent pterygium surgery by conjunctival autograft or conjunctival transpositional graft for primary pterygium surgery were reviewed. The conjunctival defects after pterygium excision were repaired in 21 eyes with conjunctival autograft and in 27 eyes with conjunctival transpositional flaps. All operations were performed under subconjunctival anesthesia using 8.0 vicryl sutures. Two groups were compared in terms of pterygium size, surgery time, complications and pterygium recurrence.
Mean pterygium size was 2.8 mm in conjunctival transpositional flap group, and 3.4 mm in conjunctival autograft group ( < 0.01). Mean surgery time in conjunctival transpositional flap and conjunctival autograft groups was 15.9 and 21.7 min, respectively. The haematoma formation under the graft was observed postoperatively in one eye of conjunctival autograft group. The only one case of recurrence was observed in both conjunctival autograft and conjunctival transpositional flap groups (3.7% and 4.7%, respectively). Mean follow up time was 11.78 months in conjunctival transpositional flap group and 14.95 months in conjunctival autografting group ( < 0.01).
Both conjunctival transpositional flap and conjunctival autograft techniques have same results in terms of pterygium recurrence and surgery complications in the treatment of primary pterygium. Surgery time in conjunctival transpositional flap technique is significantly shorter. Conjunctival transpositional flap technique may be a good alternative method for primary pterygıum surgery.
探讨并比较结膜自体移植和结膜转位瓣治疗原发性翼状胬肉手术的疗效。
回顾性、干预性病例系列分析。
回顾48例行结膜自体移植或结膜转位移植治疗原发性翼状胬肉手术患者的病历。21只眼采用结膜自体移植修复翼状胬肉切除术后的结膜缺损，27只眼采用结膜转位瓣修复。所有手术均在结膜下麻醉下使用8.0可吸收缝线进行。比较两组翼状胬肉大小、手术时间、并发症及翼状胬肉复发情况。
结膜转位瓣组翼状胬肉平均大小为2.8毫米，结膜自体移植组为3.4毫米（P<0.01）。结膜转位瓣组和结膜自体移植组的平均手术时间分别为15.9分钟和21.7分钟。结膜自体移植组有1只眼术后观察到移植片下血肿形成。结膜自体移植组和结膜转位瓣组均观察到1例复发（分别为3.7%和4.7%）。结膜转位瓣组平均随访时间为11.78个月，结膜自体移植组为14.95个月（P<0.01）。
结膜转位瓣和结膜自体移植技术在治疗原发性翼状胬肉的翼状胬肉复发和手术并发症方面效果相同。结膜转位瓣技术的手术时间明显更短。结膜转位瓣技术可能是原发性翼状胬肉手术的一种良好替代方法。
