睑结膜乳头切除联合自体游离球结膜瓣移植术治疗春季角结膜炎

Clinical efficacy of surgical resection of conjunctival papillae combined with autologous conjunctival graft in treatment of vernal keratoconjunctivitis

目的:探讨睑结膜乳头切除联合自体游离结膜瓣移植术治疗春季角结膜炎的临床效果。方法:在显微镜下对11例(22眼)春季角结膜炎患者行睑结膜乳头切除联合自体游离结膜瓣移植术,观察治疗效果。结果:术后随访36~48个月,11例(22眼)春季角结膜炎患者中,治愈19眼(86.36%),有效2眼(9.09%),无效1眼(4.55%),总有效率95.45%。结论:睑结膜乳头切除联合自体游离结膜瓣移植术是治疗春季角结膜炎安全、有效的方法。

Objective:To evaluate the efficacy and safety of surgical resection of conjunctival papillae combined with autologous conjunctival graft in the treatment of vernal keratoconjunctivitis(VKC).Methods:All 11 cases(22 eyes)with VKC were treated with surgical resection of conjunctival papillae in combination with autologous conjunctival graft.Clinical efficacy and safety were evaluated.Results:After 36 to 48 months of follow-up,19 eyes were cured(86.36%),2 eyes were improved(9.09%),and 1 eye was ineffective(4.55%).The total effective rate was 95.45%.Conclusion:Surgical resection of conjunctival papillae combined with autologous conjunctival graft is efficacious and safe in the treatment of VKC.