摘要
目的:观察自体角膜缘联合新鲜羊膜移植治疗复发性翼状胬肉的疗效。方法:复发性翼状胬肉22例(22眼)手术显微镜下切除胬肉后行自体角膜缘移植联合新鲜羊膜重建结膜缺损,修复睑球粘连。术后观察植片生长,角膜创面修复,角膜新生血管及翼状胬肉复发和睑球粘连。结果:术后3～5d,角膜缘移植片成活,角膜愈合良好,稳定,角膜无新生血管或结膜样组织增生,角膜表面光滑透明,无1例翼状胬肉复发和睑球粘连。结论:治疗复发性翼状胬肉用自体角膜缘联合羊膜移植较单纯用角膜缘移植或羊膜移植更安全,疗效更显著,起到了防止翼状胬肉再复发的双重作用。
AIM: To evaluate the effect of cornesocleral limbus autotransplantation with fresh amnion in treatment of recurrent pterygium. · METHODS: A total of 22 cases (22 eyes) with recurrent pterygium underwent cor nesocleral limbus autotransplantation and conjunctiva reconstruction with fresh amnion after pterygium cut. Postoperative transplant growth, corneal wound surfa ce repair, coeneal neovascularization, pterygium recurrence and symblepharon wer e analyzed. · RESULTS: With-in 3-5d after surgery, transplanted cornesocleral limbus surviv ed and cornea grew well without neovascularization or conjunctiva-like tissue hy perplasia. Corneal surface was smooth and transparent. No recurrent pterygium or symblepharon occurred in any cases. · CONCLUSION: It is safe and effective to use cornesocleral limbus autotranspla ntation with fresh amnion in treating recurrent pterygium. ·
出处
《国际眼科杂志》
CAS
2004年第6期1061-1063,共3页
International Eye Science
