Wong Hang, Wang Jia-Song, Du Ya-Li, Xie Hua-Tao, Zhang Ming-Chang
Department of Ophthalmology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
J Clin Med. 2022 Dec 3;11(23):7193. doi: 10.3390/jcm11237193.
(1) Background: This study aimed to evaluate the clinical outcome of Sandwich (Amnion/Conjunctival-Limbal Autograft/Amnion) transplantation for recurrent pterygium with restrictive strabismus. (2) Methods: This retrospective study included 11 eyes in 11 patients diagnosed with recurrent pterygium with restrictive strabismus who received sandwich transplantation. The outcomes were measured by pterygium recurrence, best-corrected visual acuity, esotropia (prism diopters), and treatment complications. (3) Results: Eleven patients (six males, five females) had a mean age of 60.5 (range 36-80) years. The previously received pterygium excision surgery number was 1.8 ± 1.02 (range 1-4). The mean follow-up period was 19.9 ± 8.41 (range 12-36) months. All patients had a restriction of abduction in the previously operated eye, causing esotropia in the primary position. Pre-operative esotropia was 17.2 (range 10-30) prims diopter (PD). Five eyes (45.5%) had symblepharon before surgery. All patients were orthotropic until the last follow-up. Symblepharon was released in all eyes. Free ocular motility was present in all eyes. No donor site scar formation, scleral melt, or corneal ulcer was noted. (4) Conclusions: Sandwich transplantation for recurrent pterygium with restrictive strabismus is safe and effective.
(1) 背景：本研究旨在评估三明治式（羊膜/结膜-角膜缘自体移植/羊膜）移植治疗复发性翼状胬肉合并限制性斜视的临床疗效。(2) 方法：本回顾性研究纳入了11例诊断为复发性翼状胬肉合并限制性斜视的患者的11只眼，这些患者接受了三明治式移植。通过翼状胬肉复发情况、最佳矫正视力、内斜视（棱镜度）和治疗并发症来评估疗效。(3) 结果：11例患者（6例男性，5例女性）的平均年龄为60.5岁（范围36 - 80岁）。既往接受翼状胬肉切除手术的次数为1.8 ± 1.02次（范围1 - 4次）。平均随访期为19.9 ± 8.41个月（范围12 - 36个月）。所有患者既往手术眼均有外展受限，导致原在位出现内斜视。术前内斜视度数为17.2（范围10 - 30）棱镜度（PD）。5只眼（45.5%）术前存在睑球粘连。至最后一次随访时所有患者均眼位正。所有眼的睑球粘连均已松解。所有眼均有自由眼球运动。未观察到供体部位瘢痕形成、巩膜溶解或角膜溃疡。(4) 结论：三明治式移植治疗复发性翼状胬肉合并限制性斜视安全有效。
