Förster W, Atzler U, Ratkay I, Busse H
Universitäts-Augenklinik, Münster.
Ophthalmologe. 1995 Aug;92(4):424-6.
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.
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。
