Mitomycin C application in pterygium surgery in the clinical observation.doc

 PAGE \* MERGEFORMAT 6 Mitomycin C application in pterygium surgery in the clinical observation The treatment of pterygium with surgery, but the simple excision of pterygium recurrence rate as high as 24% to 30% of the patients who often feel difficult. I nearly 10 years, to postoperative multiple links to prevent pterygium recurrence, more obvious effects. The report is as follows. 1 Materials and Methods 1.1 Clinical data: The treatment of 100 eyes of 90 patients, male 65, female 35 .9 eyes with recurrent pterygium. Aged 30 to 75 years, mean 52 years, are located in the nasal pterygium blepharophimosis. 1.2 surgical indications: (1) for pterygium. (2) pterygium of pupillary area or those who cover the pupil area. (3) pterygium eye movement or affect the beauty of those. 1.3 Preoperative preparation and anesthesia: (1) conjunctival hyperemia was the use of antibiotics should be corticosteroid eye drops and eye drops for treatment, to be dissipated or significantly reduce congestion after an operation. (2) preoperative conjunctival irrigation with saline capsule. (3) with 0.5% tetracaine for the surface of the conjunctiva and cornea .2% lidocaine anesthesia for subconjunctival anesthesia. 1.4 Operation steps: (1) open speculum eyelids open. (2) with toothed forceps clamped pterygium head, 0.5mm from outside the Department for the shallow edge of the cornea incision, carefully organize the pterygium and corneal tissue isolated from the limbus. (3) cut the flesh on both sides of the bulbar conjunctiva pterygium, limbal separation at adhesion, blunt dissection sclera tissue. (4) separation of subconjunctival pterygium tissue folds of the body reach a half months. resection have been separated of all pterygium tissue. (5) After the scleral surface of the bleeding, carefully scraping the surface cut, be sure to smooth the surface of the sclera. cut off part of the conjunctiva pterygium. nourishing blood vessels damaged: in the