Kenyon K R, Wagoner M D, Hettinger M E
Ophthalmology. 1985 Nov;92(11):1461-70. doi: 10.1016/s0161-6420(85)33831-9.
The technique and results of conjunctival autograft transplantation for advanced and recurrent pterygium are presented for 57 eyes of 54 patients. The pterygia were primary in 16 eyes and recurrent in 41; among the latter group, 14 patients had diplopia resulting from cicatricial involvement of the medial rectus muscle. In all cases, free conjunctival grafts from the superotemporal bulbar conjunctiva of the same eye were used to resurface exposed sclera and extraocular muscle. There were no intraoperative complications. Postoperative follow-up ranges from 1 to 67 months, with a mean of 24 months. Only three pterygia have recurred (5.3%); two were successfully remedied by a second conjunctival autograft, whereas the third did not require an additional procedure. In all 14 patients with diplopia, extraocular movement was restored. We recommend this surgical approach as a safe and effective means of treating pterygia complicated by conjunctival scarring with extraocular muscle involvement and requiring concurrent fornix reconstruction.
本文报告了54例患者57眼行结膜自体移植治疗晚期及复发性翼状胬肉的技术及结果。其中16眼为原发性翼状胬肉，41眼为复发性翼状胬肉；在后一组中，14例患者因内侧直肌瘢痕化受累出现复视。所有病例均采用同侧颞上球结膜的游离结膜移植片来覆盖暴露的巩膜和眼外肌。术中无并发症。术后随访时间为1至67个月，平均24个月。仅3例翼状胬肉复发（5.3%）；2例经再次结膜自体移植成功修复，而第3例无需额外手术。所有14例复视患者的眼外肌运动均恢复。我们推荐这种手术方法，作为治疗合并结膜瘢痕形成且眼外肌受累并需要同期穹窿重建的翼状胬肉的一种安全有效的方法。
