Snibson G R, Luu C D, Taylor H R
University of Melbourne Department of Ophthalmology, East Melbourne, Victoria, Australia.
Aust N Z J Ophthalmol. 1998 Nov;26(4):271-6. doi: 10.1111/j.1442-9071.1998.tb01329.x.
To determine the surgical approaches and adjunctive therapy es currently used by Victorian ophthalmologists for the treatment of primary and recurrent pterygia.
Ophthalmologists practising in Victoria were asked to complete a written survey relating to their experience with pterygium surgery.
Responses were received from 142 of 165 ophthalmologists surveyed (86%). Of these, 107 (75%) had performed at least one pterygium operation during the preceding 2 years. Excision followed by beta irradiation was the most commonly performed procedure for both primary (57%) and recurrent (35%) pterygia. The next most commonly performed procedure for primary pterygia was excision leaving bare sclera (15%) and, for recurrent pterygia, excision with autologous conjunctival transplantation (26%). Considerable variation was observed in surgical technique, choice of adjunctive therapy, postoperative care and in the surgeons' estimates of the frequency of major complications.
Although there is little consensus regarding the surgical management of pterygium, beta irradiation remains the most commonly used adjunctive therapy in Victoria.
确定维多利亚州眼科医生目前用于治疗原发性和复发性翼状胬肉的手术方法及辅助治疗。
向在维多利亚州执业的眼科医生发放一份关于其翼状胬肉手术经验的书面调查问卷。
在165名接受调查的眼科医生中，有142名（86%）回复了问卷。其中，107名（75%）在过去两年内至少进行过一次翼状胬肉手术。对于原发性（57%）和复发性（35%）翼状胬肉，最常采用的手术方法是切除后进行β射线照射。原发性翼状胬肉其次常用的手术方法是切除后保留裸露巩膜（15%），而复发性翼状胬肉则是自体结膜移植切除（26%）。在手术技术、辅助治疗选择、术后护理以及外科医生对主要并发症发生率的估计方面，观察到了相当大的差异。
尽管在翼状胬肉的手术治疗方面几乎没有共识，但在维多利亚州，β射线照射仍然是最常用的辅助治疗方法。
