头部撕除法联合羊膜移植治疗翼状胬肉疗效观察

Head dilaceration combined with amniotic membrane transplantation in the treatment of pterygium

目的:观察头部撕除法联合羊膜移植治疗翼状胬肉的手术效果,评价原发性翼状胬肉最佳手术方法和降低复发率的手术技巧。方法:2008-01/2009-08治疗原发性翼状胬肉20例30眼,手术方法是头部撕除翼状胬肉联合羊膜移植术。观察手术后角膜创面修复时间和术后复发率。结果:术后随访2～18(平均6)mo。治愈28眼,治愈率93%,复发2眼,复发率为7%。角膜创面平均修复时间为2～3d。30眼有22眼术后视力有不同程度的提高。美容效果:患者于裂隙灯显微镜下不易发现翼状胬肉手术痕迹。结论:头部撕除法联合羊膜移植术治疗原发性翼状胬肉恢复快,复发率低,美容效果好。

AIM ： TO observe surgery results of the head dilaceration combined with amniotic membrane transplantation in the treatment of pterygium, and evaluate the best primary pterygium surgieal method and surgical technique to reduce the relapses rate.METHODS： Primary pterygium in 30 eyes of 20 cases were treated from January 2008 to August 2009. The surgpry was to tear the head of pterygium with amniotic membrane transplantation. Postoperative corneal wourld healing time and recurrence rate were observed. RESULTS： Of postoperative follow-up 2 months to 18 months, mean follow-up time was 6 months, 28 eyes were cured, the cure rate was 93% ; 2 eyes recurred, the recurrence rate was 7%. The average repair time of corneal wound was 2-3 days. 22 of the 30 eyes had visual acuity improved in different degrees. Cosmetic effect： The patient was difficult to find signs of pterygium surgery under a slit lamp microscope. CONCLUSION： Head dilaceration combined with amniotic mem-brane transplantation in the treatment of primary pterygium has quick recovery, low relapse rate and good cosmetic effect.