de Keizer R J, Swart-van den Berg M, Baartse W J
Department of Ophthalmology, Leyden University Medical Centre, The Netherlands.
Doc Ophthalmol. 1987 Sep-Oct;67(1-2):33-44. doi: 10.1007/BF00142695.
The results of pterygium excision were assessed in an open study following a double-blind study on the effect of after-treatment with Strontium 90 (Sr 90). The results of the treatment of more complicated pterygia with disturbances of ocular motility and reduced visual acuity were also assessed; the treatment consisted of pterygium excision, conjunctival flaps or keratoplasty, and in the case of symblepharon fornix reconstruction. Thirty-three eyes with pterygia which had not previously been operated on, were treated with the "bare sclera" operative technique in combination with Sr 90 irradiation. After this treatment there were no recurrences. In the group of 18 recurrent pterygia which were treated with the same technique, two recurrences were seen. These results of irradiation are in sharp contrast with the 67% chance of recurrence when the "bare sclera" technique is used alone. The results of the more complicated pterygium operations were also successful. Visual acuity, motility and appearance improved markedly or became normal. Recurrences were rare (0-6%).
在一项关于锶90（Sr 90）术后治疗效果的双盲研究之后，通过一项开放性研究评估了翼状胬肉切除术的结果。还评估了对伴有眼球运动障碍和视力下降的更复杂翼状胬肉的治疗结果；治疗方法包括翼状胬肉切除术、结膜瓣或角膜移植术，以及在睑球粘连情况下进行穹窿重建。33只此前未接受过手术的翼状胬肉眼睛采用“裸巩膜”手术技术并结合Sr 90照射进行治疗。该治疗后无复发情况。在采用相同技术治疗的18只复发性翼状胬肉组中，出现了2例复发。这些照射结果与单独使用“裸巩膜”技术时67%的复发几率形成鲜明对比。更复杂的翼状胬肉手术结果也很成功。视力、眼球运动和外观明显改善或恢复正常。复发很少见（0 - 6%）。
