The Australian Pterygium Centre, Brisbane, Australia.
Queensland Eye Institute, Brisbane, Australia; and.
Cornea. 2021 Sep 1;40(9):1141-1146. doi: 10.1097/ICO.0000000000002545.
To identify the recurrence rate, complication rate, cosmetic results, and patient satisfaction after P.E.R.F.E.C.T. for PTERYGIUM more than 10 years after surgery.
This is a prospective cohort study with 312 patients (351 surgeries). All patients underwent pterygium removal using P.E.R.F.E.C.T. for PTERYGIUM in 1 eye or both eyes by the author. The main parameters studied were recurrence rate, complication rate, esthetic outcomes, and patient satisfaction.
Two hundred twenty-nine patients (77% of surviving cohort group) were able to be followed up with 16 patients deceased. The basic biographical data of the group followed up and those lost to follow-up were not different. The follow-up period was 153 ± 20 months. Twenty-five percent of the surgeries were for recurrent pterygia. The recurrence rate was zero, and there were no serious complications. Ninety-four percent of patients were graded as having normal or excellent cosmetic appearance by the surgeon, and 95% of the patients graded the appearance of their eye as greater than 8 of 10. Ninety-four percent of the patients gave more than 8 of 10 as their satisfaction with the service and surgery.
P.E.R.F.E.C.T. for PTERYGIUM provides long-term and stable results for primary and recurrent pterygium patients with a zero recurrence rate and excellent cosmetic appearance of the eye and no serious complications. P.E.R.F.E.C.T. for PTERYGIUM should be considered as the standard by which other pterygium surgeries should be compared. Cosmetic outcomes after pterygium surgeries are now a more sensitive measure of success than recurrence rate alone.
探讨超过 10 年的 PERFECT 翼状胬肉切除术治疗翼状胬肉的复发率、并发症发生率、美容效果和患者满意度。
这是一项前瞻性队列研究，共纳入 312 例（351 只眼）患者。所有患者均由作者采用 PERFECT 翼状胬肉切除术治疗单眼或双眼翼状胬肉。主要研究参数包括复发率、并发症发生率、美容效果和患者满意度。
229 例患者（存活队列组的 77%）可进行随访，其中 16 例患者死亡。随访组和失访组的基本人口统计学数据无差异。随访时间为 153±20 个月。25%的手术为复发性翼状胬肉。复发率为 0，无严重并发症。94%的患者经手术医生评估美容外观正常或优秀，95%的患者评估其眼部外观大于 8 分（满分 10 分）。94%的患者对服务和手术的满意度评分为 8 分以上。
PERFECT 翼状胬肉切除术治疗原发性和复发性翼状胬肉可获得长期且稳定的效果，其复发率为 0，眼部美容外观良好，无严重并发症。PERFECT 翼状胬肉切除术应作为其他翼状胬肉手术的标准。翼状胬肉手术后的美容效果现在是比单纯复发率更敏感的成功衡量标准。
