Rivaud C, Vingtain P, Cozette P, Ginoux J, Menerath J M
J Fr Ophtalmol. 1986;9(3):217-25.
The first procedure consists of corneal autograft sampled at noon or six o'clock on the pterygium's excision bed, combined to a conjunctival flaps translation. The second technique consists of a monoblock corneoconjunctival graft with a limbic hinge. The operative difficulties, post-surgical complications and results are discussed. The results seem very promising: one recurring case out of 34 grafts performed. The recurring risk, more acute in tropical environment where it is frequently impossible to obtain corneal homografts is greatly reduced by autografts.
第一种手术方法是在翼状胬肉切除床上于中午或六点采集角膜自体移植物,并结合结膜瓣移位术。第二种技术是采用带有边缘铰链的整块角膜结膜移植物。文中讨论了手术难点、术后并发症及结果。结果似乎很有前景:在实施的34例移植物手术中仅有1例复发。自体移植物大大降低了复发风险,在热带环境中这种风险更为严重,因为在那里常常无法获得角膜同种异体移植物。