大规模白内障复明手术中同时行胬肉切除联合球结膜瓣转移手术的应用

Conjunctival rotation autograft for pterygium in large-scale sight restoring surgery

目的:探讨大规模白内障复明手术中对合并翼状胬肉的患者同时施行胬肉切除联合球结膜瓣转移术的安全性和有效性。方法:对36例老年性白内障合并翼状胬肉的患者,使用前房维持器行小切口非超声乳化白内障摘除联合人工晶状体植入术,并行胬肉切除联合球结膜瓣移植,术后随访30～90(平均43.5)d。观察术后单纯球镜矫正视力、并发症、角膜愈合、角膜缘新生血管及球结膜是否有薄层胬肉样组织增生。结果:34例视力>0.3。角膜创面3～5d愈合,无1例胬肉复发,无新生血管生长及瘢痕组织增生现象。结论:防盲手术中对合并翼状胬肉的患者同时施行胬肉切除联合球结膜瓣转移术是安全和有效的。

AIM： To study the safety and efficacy of simultaneous con- junctival rotation autograft （CRA） for pterygium in the large-scale sight restoring surgery. METHODS： Small incision non-phacoemulsification cataract extraction, intraocular lens （IOL） implantation and simultaneuous pterygium excision with CRA were performed in 36 cases suffering from both cataract and pterygium. AJl the patients were examined at random in postoperative 30-90 days, averaging 43.5 days. Simple sphere corrected vision, complication, cornea heal, limbal fresh blood vessel and pterygium recurrence were examined. RESULTS： Vision acuity became 〉0.3 in 34 cases. Cornea was healed in 3-5 days. There was no pterygium recurrence or limbal fresh blood vessel occurred. CONCLUSION： Simultaneous pterygium excision with CRA was safe and effective in large-scale cataract extraction.