Yao Tian-Yu, Wang Jia-Song, Xie Hua-Tao, Zhang Ming-Chang
Department of Ophthalmology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, People's Republic of China.
Clin Optom (Auckl). 2024 Nov 12;16:287-292. doi: 10.2147/OPTO.S490602. eCollection 2024.
To compare differences in postoperative pain, foreign body sensation, photophobia, and lacrimation between balafilcon A and samfilcon A bandage contact lenses (BCLs) in the early stage following pterygium surgery.
A total of 66 eyes with pterygium conjunctival grafts fixed with sutures were included in this study, comprising 32 eyes fixed with samfilcon A and 34 eyes fixed with balafilcon A. Demographic data, postoperative corneal epithelialization time, and subjective discomfort, such as pain (using the visual analog scale [VAS]), were recorded and compared.
Significant differences were noted in VAS scores between the first day (P<0.01) and the second day post-surgery (P=0.03), suggesting that patients experienced less pain after wearing samfilcon A. However, no significant differences were observed in corneal epithelialization time, VAS score before lens removal, foreign body sensation, photophobia, lacrimation, insomnia, and demographic data between the two groups. Finally, only two balafilcon A patients required nonsteroidal analgesics.
After pterygium surgery, samfilcon A BCL was associated with lower pain levels compared with balafilcon A BCL and could assist in reducing postoperative discomfort in patients and concurrently improving patient satisfaction.
比较翼状胬肉手术后早期，百利菲康A绷带式隐形眼镜（BCL）和珊菲康A绷带式隐形眼镜在术后疼痛、异物感、畏光和流泪方面的差异。
本研究共纳入66只接受缝线固定结膜移植的翼状胬肉眼，其中32只眼使用珊菲康A固定，34只眼使用百利菲康A固定。记录并比较人口统计学数据、术后角膜上皮化时间以及主观不适，如疼痛（使用视觉模拟量表[VAS]）。
术后第一天（P<0.01）和第二天（P=0.03）的VAS评分存在显著差异，表明佩戴珊菲康A后患者疼痛较轻。然而，两组在角膜上皮化时间、取出镜片前的VAS评分、异物感、畏光、流泪、失眠和人口统计学数据方面均未观察到显著差异。最后，只有两名使用百利菲康A的患者需要非甾体类镇痛药。
翼状胬肉手术后，与百利菲康A BCL相比，珊菲康A BCL的疼痛程度较低，有助于减轻患者术后不适，同时提高患者满意度。
