国际眼科杂志2007，Vol.7Issue(5)：1250-1254,5.
邻近角巩膜缘结膜移植治疗翼状胬肉
Adjacent limbal transplantation for pterygium treatment
Marcel Y.Avila 1Lizt K.Torres1
作者信息
- 1. 哥伦比亚波哥大,哥伦比亚国立大学医学院眼科
- 折叠
摘要
Abstract
AIM: To evaluate a technique of limbal reconstruction for pterygium through surgery using flaps of adjacent limbal conjunctiva.METHODS: As for a prospective non-comparative case series of 100 pterygium surgeries, pterygium resection was performed with topical anesthesia. Once resected, two adjacent flaps of conjunctiva with the adjoining limbus were dissected and then sutured, reassembling the corneo-conjunctival limbus. Limbal reconstruction was evaluated with impression cytology.RESULTS: Complete reconstruction of the limbus was documented with impression cytology. A recurrence rate of 4% was observed with this technique, during follow-up of 6 to 24 months (with a mean of 14 months). There was a minimal difference between surgeons (3% vs 4%). Loss of limbal anatomy with mucous hyperplasia and squamous metaplasia was documented during recurrences.CONCLUSION: Adjacent limbal transplantation is a safe and simple technique for pterygium surgery and complete reconstruction of limbus is documented, with a minimal rate of recurrence.关键词
翼状胬肉/结膜瓣/角巩膜缘重建/印迹细胞学/泪液功能Key words
pterygium/ conjunctival flaps/ limbal reconstruction/ impression cytology/ tear function分类
医药卫生引用本文复制引用
Marcel Y.Avila,Lizt K.Torres..邻近角巩膜缘结膜移植治疗翼状胬肉[J].国际眼科杂志,2007,7(5):1250-1254,5.
