“氢荧光素”技术在翼状胬肉手术中切除Tenon囊的安全性和有效性：一项为期1年的随访研究。
Safety and efficacy of "hydro-fluorescein" technique in removing Tenon in pterygium surgery: a 1-year follow-up study.
作者信息
Abdul-Kadir Mohd-Asyraaf, Hilmi Mohd Radzi, Mohd Kamal Khairidzan
机构信息
Department of Ophthalmology, Universiti Malaysia Sarawak, Sarawak, Malaysia.
Department of Ophthalmology, Kulliyyah of Medicine, International Islamic University Malaysia, Pahang, Malaysia.
出版信息
Eye (Lond). 2025 Apr;39(6):1081-1085. doi: 10.1038/s41433-024-03539-7. Epub 2024 Dec 10.
PURPOSE
To assess the effectiveness and safety of the "hydro-fluorescein" adjunct technique for primary pterygium removal.
DESIGN/METHODS: A non-randomized prospective study was conducted for various types of pterygium excision with superior bulbar conjunctival autograft (CAG) and fibrin glue. We introduced fluorescein staining to ensure thorough elimination of the Tenon tissue around the bare sclera area and the CAG. The primary outcome was the recurrence rate, and the secondary outcome was any complication associated with fluorescein staining.
RESULTS
Ninety-three participants with primary pterygium of Grades 1-3 were recruited and all completed follow-up for at least 1 year. No recurrence was identified during the follow-up period and no long-term adverse reactions were reported with the "hydro-fluorescein" method.
CONCLUSION
"Hydro-fluorescein" is effective and a safe adjunct in primary pterygium removal and is effective in various grades of pterygia to minimize recurrence with no adverse reaction within 1 year.
目的
评估“水荧光素”辅助技术用于原发性翼状胬肉切除的有效性和安全性。
设计/方法：采用非随机前瞻性研究，对各类翼状胬肉切除联合上方球结膜自体移植（CAG）及纤维蛋白胶的情况进行研究。我们引入荧光素染色以确保彻底清除裸露巩膜区域及CAG周围的Tenon组织。主要结局指标为复发率，次要结局指标为与荧光素染色相关的任何并发症。
结果
招募了93例1-3级原发性翼状胬肉患者，所有患者均完成了至少1年的随访。随访期间未发现复发情况，且“水荧光素”方法未报告长期不良反应。
结论
“水荧光素”在原发性翼状胬肉切除中是一种有效且安全的辅助手段，对各级翼状胬肉均有效，可最大程度减少复发，且1年内无不良反应。
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