Pterygium excision combined with autologous conjunctival transplantation Clinical Efficacy.docVIP
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Pterygium excision combined with autologous conjunctival transplantation Clinical Efficacy
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Pterygium excision combined with autologous conjunctival transplantation Clinical Efficacy
[Abstract] Objective To investigate the autologous conjunctival transplantation for treatment of pterygium. Methods 25 for retrograde pterygium excision combined with autologous conjunctival transplant patients were followed up 6 to 15 months. The results of 25 eyes of 24 cured, a relapse, the relapse rate 4%. Conclusions Retrograde pterygium excision combined with conjunctival autograft transplantation, which can effectively prevent the recurrence of pterygium is an effective method of treatment of pterygium.
[Keywords:] corneal limbal stem cells; autologous transplantation; pterygium
Ophthalmic pterygium is a common disease, drug treatment is often ineffective. The current treatment is still surgical excision. However, conventional surgical resection of recurrence rate as high as 24% ~ 89% [1], in recent years, our hospital with retrograde pterygium excision combined with autologous conjunctival transplantation to prevent the recurrence of pterygium, and achieved satisfactory results, are reported as follows.
1 Data and methods
1.1 General data collection, hospital out-patient cases of 25 cases of pterygium, a total of 25, male 10, female 15, aged 36 to 70 years old. Are of primary pterygium, the incidence of time ranging from 1 to 15 years, pterygium head, have been penetrated more than 3 mm within the limbus.
1.2 Operation Methods (1) anesthesia: 0.5% tetracaine topical anesthesia, 2% lidocaine 0.1% plus a small amount of adrenaline pterygium subconjunctival local anesthesia. (2) surgical procedures: In the 10 times under a microscope operation: ① reverse excision of pterygium: cut along both sides of the pterygium neck and bulbar conjunctiva, blunt separation of the Department of Nu body organized under the conjunctiva and the conjunctiva and the adhesion between the pterygium and the sclera. The Department of Nu along the arc
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