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  • 标题:Pterygium Surgery: Wide Excision with Conjunctivo-Limbal Autograft
  • 本地全文:下载
  • 作者:Kwak, Dong Yub ; Bae, Min Chul ; Lee, Jin Kee
  • 期刊名称:Journal of the Korean Ophthalmological Society
  • 印刷版ISSN:0378-6471
  • 出版年度:2008
  • 卷号:49
  • 期号:2
  • 页码:205-212
  • DOI:10.3341/jkos.2008.49.2.205
  • 语种:Korean
  • 出版社:The Korean Ophthalmological Society
  • 摘要:Purpose

    To evaluate the efficacy of conjunctivo-limbal autograft after wide excision of primary and recurrent pterygia.

    Methods

    Twenty-one eyes of 18 patients with primary pterygium and 18 eyes of 18 patients with recurrent pteygium underwent conjunctivo-limbal autograft after wide excision of pterygium. All patients underwent follow-up for more than six months. Recurrence rates and complications were evaluated.

    Results

    With a minimum of six months of follow-up, fibrovascular tissue in the excised area, not invading the cornea, was noted in one eye (5.6%) in the recurrent pterygium group but no further surgical interventions for the cosmetic problem were needed. One eye (4.8%) showed wound dehiscence, three eyes (14.3%) showed subgraft hemorrhage, and one eye (4.8%) showed subconjunctival fibrosis at the donor site in the primary pterygium group, while two eyes (11.1%) showed subgraft hemorrhage, and one eye (5.6%) showed Tenon's Capsule granuloma at the donor site in the recurrent pterygium group.

    Conclusions

    Conjunctivo-limbal autograft after wide excision of pterygium can be considered an effective treatment with low recurrence rates for both primary and recurrent pterygia.

  • 关键词:Conjunctivo-limbal autograft; Pterygium; Recurrence rates
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