Department of Ophthalmology, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, India.
Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Rom J Ophthalmol. 2023 Jul-Sep;67(3):244-249. doi: 10.22336/rjo.2023.41.
To describe the surgical technique and long-term outcomes of sliding limbus-conjunctival flaps to treat primary pterygium. Our single-center, single-surgeon-based, prospective study (part of the postgraduate thesis) included primary pterygium patients. We included the larger pterygium in bilateral cases for our research. All patients underwent pterygium excision and reconstruction by sliding limbus-conjunctival flaps technique to minimize the recurrence rates. Similar surgical steps and drugs were used for all the enrolled patients. Two ophthalmologists (SS and MK) evaluated all cases for blinding purposes. A minimum follow-up of 12 months was ensured in all cases. Fifty eyes of 50 patients underwent the sliding limbus-conjunctival flaps surgery at a mean age of 50.40 ± 15.05 years. There were 27 (54%) males and 23 (46%) females with nasal pterygium (100%), having an average horizontal size of 2.96 mm. A "with the rule" astigmatism was seen in 44 (88%) eyes with a horizontal keratometry value of 42.00 ± 2.83, which increased significantly to 42.23 ± 2.02 (p>0.05) after surgery. The visual acuity was improved by 1 Snellen's line in 21 cases, 2 lines in 4 cases, and by 3 lines in 1 case. No change in visual acuity was seen in 24 cases. The early minor postoperative complications were self-resolving. At a mean follow-up of 14.5 months, the recurrence was found in 2 patients (4%), one in the 3rd and the other in the 9th month. The sliding limbus-conjunctival flaps technique is a simple, safe, and efficient procedure for primary pterygium cases. Pterygium surgery positively affects the visual acuity and keratometry values in most patients, making it a cosmetic and functional ophthalmic surgical procedure.
描述用于治疗原发性翼状胬肉的滑动缘-结膜瓣的手术技术和长期结果。我们的单中心、单外科医生、前瞻性研究（研究生论文的一部分）包括原发性翼状胬肉患者。对于我们的研究，我们将双侧较大的翼状胬肉纳入研究范围。所有患者均接受翼状胬肉切除术和滑动缘-结膜瓣技术重建，以最大程度降低复发率。所有纳入患者均使用相似的手术步骤和药物。两名眼科医生（SS 和 MK）为所有病例进行评估，以达到盲法的目的。所有病例均确保至少随访 12 个月。50 例 50 只眼接受滑动缘-结膜瓣手术，平均年龄为 50.40±15.05 岁。男性 27 例（54%），女性 23 例（46%），均为鼻侧翼状胬肉（100%），平均水平大小为 2.96mm。44 只（88%）眼存在“规则性”散光，水平角膜曲率值为 42.00±2.83，术后明显增加至 42.23±2.02（p＞0.05）。21 例视力提高 1 行，4 例提高 2 行，1 例提高 3 行。24 例视力无变化。早期轻微术后并发症自行缓解。平均随访 14.5 个月，发现 2 例（4%）复发，分别在第 3 个月和第 9 个月。滑动缘-结膜瓣技术是治疗原发性翼状胬肉的一种简单、安全、有效的方法。翼状胬肉手术可积极影响大多数患者的视力和角膜曲率值，使其成为一种美容和功能性眼科手术。
