Tse D T, Mandelbaum S, Epstein E, Baerveldt G, Fein W
Arch Ophthalmol. 1983 Dec;101(12):1879-83. doi: 10.1001/archopht.1983.01040020881009.
Vernal conjunctivitis usually can be managed medically. In the rare cases that do not respond to medical treatment, surgical intervention has been considered. Four cases of vernal conjunctivitis and one case of probable contact lens-induced giant papillary conjunctivitis were treated with palpebral conjunctival excision and application of a mucous membrane graft. All patients improved symptomatically, with follow-up ranging from 1 1/2 to 14 years. The only complication encountered was recurrence of giant papillae at the conjunctiva-mucous membrane graft junction. Conjunctival excision and mucous membrane grafting is a useful procedure in rare cases of particularly severe vernal conjunctivitis.
春季结膜炎通常可以通过药物治疗。在极少数对药物治疗无反应的情况下,会考虑手术干预。4例春季结膜炎患者和1例可能由隐形眼镜引起的巨乳头性结膜炎患者接受了睑结膜切除术并应用了黏膜移植。所有患者症状均有改善,随访时间为1年半至14年。唯一遇到的并发症是结膜-黏膜移植交界处巨乳头复发。结膜切除术和黏膜移植术在极少数特别严重的春季结膜炎病例中是一种有用的手术方法。