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翼状胬肉切除联合自体结膜移植术后上皮内生：一种罕见并发症

Epithelial Ingrowth Following Pterygium Excision With Conjunctival Autograft: A Rare Complication.

作者信息

Mouhib Loubna, Haddani Othman, Khamaily Mehdi, Elbelhadji Mohamed, Oubaaz Abdelbarre

机构信息

Ophthalmology, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR.

出版信息

Cureus. 2025 Apr 17;17(4):e82416. doi: 10.7759/cureus.82416. eCollection 2025 Apr.

DOI:10.7759/cureus.82416
PMID:40385757
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12084854/
Abstract

Pterygium is a common ocular condition characterized by a conjunctival growth over the cornea. Epithelial ingrowth (EI), a rare complication of ocular surgery, involves the proliferation of epithelial cells within the cornea or the anterior chamber. We report a case of EI in a male patient following pterygium surgery with conjunctival autograft. Slit lamp examination revealed a thin, grey-white, wave-like band beneath the corneal epithelium in the inferior-temporal quadrant, outside the visual axis and not crossing the corneal center. The diagnosis of epithelial ingrowth was made clinically and confirmed with anterior optical coherence tomography (OCT). This marks only the second documented occurrence of EI after pterygium surgery.

摘要

翼状胬肉是一种常见的眼部疾病，其特征是结膜在角膜上生长。上皮植入（EI）是眼部手术的一种罕见并发症，涉及角膜或前房内上皮细胞的增殖。我们报告一例男性患者在进行翼状胬肉手术并联合结膜自体移植后发生上皮植入的病例。裂隙灯检查显示在颞下象限角膜上皮下方有一条薄的、灰白色的、波浪状带，位于视轴外且未穿过角膜中心。上皮植入的诊断通过临床检查做出，并经眼前段光学相干断层扫描（OCT）证实。这是翼状胬肉手术后记录在案的第二例上皮植入病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0832/12084854/4f3bb656f5fd/cureus-0017-00000082416-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0832/12084854/540b7dda372e/cureus-0017-00000082416-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0832/12084854/3a5ee994f483/cureus-0017-00000082416-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0832/12084854/e161d75b09f8/cureus-0017-00000082416-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0832/12084854/2d32dfbb54c7/cureus-0017-00000082416-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0832/12084854/4f3bb656f5fd/cureus-0017-00000082416-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0832/12084854/540b7dda372e/cureus-0017-00000082416-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0832/12084854/3a5ee994f483/cureus-0017-00000082416-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0832/12084854/e161d75b09f8/cureus-0017-00000082416-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0832/12084854/2d32dfbb54c7/cureus-0017-00000082416-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0832/12084854/4f3bb656f5fd/cureus-0017-00000082416-i05.jpg

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本文引用的文献

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Cornea. 2020 Jan;39(1):129-131. doi: 10.1097/ICO.0000000000002158.
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Epithelial ingrowth following laser in situ keratomileusis (LASIK): prevalence, risk factors, management and visual outcomes.准分子原位角膜磨镶术（LASIK）后上皮内生：发生率、危险因素、处理及视觉转归
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Comparison of 5468 retreatments after laser in situ keratomileusis by lifting the flap or performing photorefractive keratectomy on the flap.
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LASIK flap breakthrough in Nd:YAG laser treatment of epithelial ingrowth.Nd:YAG激光治疗上皮内生中的准分子原位角膜磨镶术（LASIK）瓣突破
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Failure of intracameral fluorouracil to resolve an epithelial ingrowth following clear corneal cataract surgery.前房内注射氟尿嘧啶未能解决透明角膜白内障手术后的上皮内生问题。
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