Ge Huimin, Cao Guofan, Wang Jian, Zhang Shu
Affiliated Eye Hospital of Nanjing Medical University, Nanjing, China.
School of Communication Science and Disorders, Dalhousie University, Halifax, NS, Canada.
Front Med (Lausanne). 2025 Feb 21;12:1522167. doi: 10.3389/fmed.2025.1522167. eCollection 2025.
To evaluate the efficacy, safety, and outcomes of a blade- and cautery-free surgical protocol for pterygium removal.
Pterygium removal surgery was done in 69 eyes (67 patients; 24 males and 43 females) who were followed up for at least 6 months. The surgery was characterized by blunt separation of the pterygium from the head to the limbal arc using the tip of Vannas scissors and modified procedures, such as transpositional flapping and suture closure. Neither a blade nor a cautery was used.
The reported subjects were 60.7 years old on average, and most of them had primary pterygium (66 out of 69). The proposed surgical protocol was simple to perform, requiring an average operation time of 18.7 min which was shorter than that of the suture and fibrin glue groups mentioned in relevant reports. Post-anesthesia pain was relieved quickly 1 day after surgery without the use of pain killers. During the follow-up period of 11.3 ± 3.1 months, recurrence of pterygium requiring additional surgery was seen in only three eyes (4.3%).
The potential of the examined protocol as an easy, efficient, and reliable approach was demonstrated.
评估一种无刀片和无烧灼的翼状胬肉切除手术方案的疗效、安全性及手术效果。
对69只眼（67例患者；24例男性和43例女性）进行翼状胬肉切除手术，并对其进行至少6个月的随访。该手术的特点是使用Vannas剪刀尖端从头部到角膜缘弧形钝性分离翼状胬肉，并采用诸如转位翻转和缝合关闭等改良手术方法。未使用刀片和烧灼器。
报告的受试者平均年龄为60.7岁，大多数患有原发性翼状胬肉（69例中的66例）。所提出的手术方案操作简单，平均手术时间为18.7分钟，比相关报告中提到的缝合组和纤维蛋白胶组的手术时间短。术后1天未使用止痛药，麻醉后疼痛即迅速缓解。在11.3±3.1个月的随访期内，仅3只眼（4.3%）出现需要再次手术的翼状胬肉复发。
证明了所研究的手术方案作为一种简便、高效且可靠方法的潜力。
