Mutlu Said Nafiz, Evereklioglu Cem, Najafi Javid, Arda Hatice
Maya Eye Hospital, Kayseri, Türkiye.
Department of Ophthalmology, Division of Cataract and Refractive Surgery, Erciyes University Medical Faculty, Kayseri, Türkiye.
Am J Ophthalmol Case Rep. 2023 Jul 24;32:101897. doi: 10.1016/j.ajoc.2023.101897. eCollection 2023 Dec.
To report our initial experience in patients with primary pterygium surgery who had a transparent intrastromal corneal lenticule as a free graft obtained during small incision lenticule extraction (SMILE) surgery.
This study enrolled five eyes of 5 patients with pterygium who were surgically treated with single or double free lenticule that was sutured to the defective area of the nasal corneosclera immediately following pterygium excision. All cases with pterygium were primary, and topical mitomycin C was not used at the time of surgery. The mean age of the patients was 51.0 years and 2 of the 5 eyes belonged to male subjects. The patients were followed up for an average of six months. During the follow-up period, the lenticule grafts demonstrated no sign of rejection and were intact in all cases. All patients recovered well with no complications or recurrences at six months postoperatively.
This report suggests that transparent corneal lenticules obtained during SMILE laser surgery may be used as an alternative novel graft source for the surgical treatment of patients with primary pterygium. It appears to be a safe, easy, cost- and time-effective reliable method.
报告我们在原发性翼状胬肉手术患者中的初步经验，这些患者在小切口基质透镜切除术（SMILE）手术中获得了透明的基质内角膜透镜作为游离移植物。
本研究纳入了5例翼状胬肉患者的5只眼，这些患者接受了单或双游离透镜手术治疗，在翼状胬肉切除后立即将其缝合至鼻侧角膜巩膜缺损区域。所有翼状胬肉病例均为原发性，手术时未使用局部丝裂霉素C。患者的平均年龄为51.0岁，5只眼中有2只属于男性受试者。患者平均随访6个月。在随访期间，透镜移植物均未出现排斥迹象，所有病例均保持完整。所有患者恢复良好，术后6个月无并发症或复发。
本报告表明，SMILE激光手术中获得的透明角膜透镜可作为原发性翼状胬肉患者手术治疗的一种新型替代移植物来源。它似乎是一种安全、简便、经济且省时的可靠方法。
