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[准分子激光光治疗性角膜切削术(PTK)及改良单纯巩膜术治疗翼状胬肉]

[Excimer laser phototherapeutic keratectomy (PTK) and modified bare sclera technique for treatment of pterygium].

作者信息

Förster W, Atzler U, Ratkay I, Busse H

机构信息

Universitäts-Augenklinik, Münster.

出版信息

Ophthalmologe. 1995 Aug;92(4):424-6.

PMID:7549323
Abstract

Forty-six pterygia were surgically removed using a modified "bare sclera" technique. Additionally, an excimer laser PTK was performed using the immersion method to smooth the irregular surface of the cornea. Follow-up was 6 to 10 months. We found 24 recurrences. In patients with pterygia of more than 4 mm who were from southern Europe, the Middle East, or Africa, the recurrence rate was 100%. In pterygia from 2 to 4 mm the recurrence rate was 50%; in pterygia up to the limbus no recurrences were noted. The excimer laser has no positive influence on pterygia recurrences that have been removed using the modified "bare sclera" technique.

摘要

采用改良的“裸巩膜”技术手术切除了46例翼状胬肉。此外,使用浸润法进行准分子激光角膜切削术以平滑角膜的不规则表面。随访时间为6至10个月。我们发现24例复发。来自南欧、中东或非洲的翼状胬肉超过4毫米的患者,复发率为100%。翼状胬肉在2至4毫米时,复发率为50%;翼状胬肉延伸至角膜缘的患者未观察到复发。对于采用改良的“裸巩膜”技术切除的翼状胬肉,准分子激光对其复发没有积极影响。

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