Röck Tobias, Bartz-Schmidt Karl Ulrich, Röck Daniel
Centre for Ophthalmology, University of Tübingen, Tübingen, Germany.
Int Med Case Rep J. 2020 Apr 1;13:111-115. doi: 10.2147/IMCRJ.S203897. eCollection 2020.
Double-headed pterygia are rare and present the surgeon with challenges. This case report illustrates the surgical management and the course of healing in a double-head pterygium patient.
A 53-year-old man was referred to our eye hospital with a double-head pterygium of the right eye. During the follow-up examinations, 1 and 3 years later stable findings were found. Five years after initial referral we saw a progression of the double-head pterygium and the patient explained a worse visual acuity. The nasal and temporal pterygium was resected and conjunctival autograft transplantation, and a primary closure was performed, respectively, for the bulbar conjunctival reconstruction. After the surgery, a reduction in the inflammation and healing of the conjunctival lesion could be seen. At the 12-month follow-up, there was no sign of recurrence or any postoperative complication.
A surgical excision combined with conjunctival autograft transplantation and primary closure in a one-time intervention seems to be effective and economical for the treatment of double-head pterygium.
双头翼状胬肉较为罕见，给外科医生带来挑战。本病例报告阐述了一名双头翼状胬肉患者的手术治疗及愈合过程。
一名53岁男性因右眼双头翼状胬肉转诊至我院眼科。在随访检查中，1年和3年后检查结果稳定。初次转诊5年后，我们发现双头翼状胬肉进展，患者自述视力下降。分别切除鼻侧和颞侧翼状胬肉并进行结膜自体移植及一期缝合，用于球结膜重建。术后可见结膜病变炎症减轻且愈合。在12个月的随访中，没有复发迹象或任何术后并发症。
一次性手术切除联合结膜自体移植及一期缝合治疗双头翼状胬肉似乎有效且经济。
