Pterygium excision combined with improved surgical pedicle conjunctival flap.docVIP

 PAGE \* MERGEFORMAT 10 Pterygium excision combined with improved surgical pedicle conjunctival flap Of: Junhua, Fang Lijun, Lin Ya Chu, Chen Fenghua [Keywords:] pterygium; conjunctiva; transplantation; eye surgery Pterygium is a serious impact on visual acuity and beauty of the common diseases, high prevalence [1-3]. Pterygium recurrence rate, Farrah and other retrospective analysis found that pterygium recurrence rate 6.6% 23.3% [4-5]. to study the pathogenesis and improving surgical techniques has been the concern of ophthalmologists. I used the bottom of pedicle conjunctival flaps transplantation in the treatment of pterygium, clinical effects, are as follows. 1 Clinical data 1.1 General data collection in June 2005 on December -2008 author outpatient hospital 59 patients with pterygium (62 eyes), 24 males (25 eyes) and 35 females (37 eyes), age (48.92 + - 6.46) years (32 to 57 years), simple pterygium in 49 eyes, 13 eyes with recurrent pterygium, surgery had no significant local congestion and active inflammation. 1.2 Methods 1.2.1 Preoperative preparation routine eye examination before surgery to exclude surgical contraindications. 2 d eyes with preoperative eye drops Helen Briggs special eyes water and the water 3 times a day. 1.2.2 eyes with pterygium excision local anesthesia, surgical microscope in the pterygium neck parallel to the limbal conjunctival incision to do, as long as the neck, the lower edge of the outer 0.5 mm, the full separation of conjunctiva and pterygium body, fascia as far as possible without conjunctival tissue. pterygium cut from the neck to find the loose parts of the head and corneal adhesions, stripping the head from the cornea down, try to remove the denatured tissue, maintain the corneal wound formation. the body with the sclera surface separation, and at the cut off near the lacrimal caruncle. stop the bleeding, so that the blood only then, do not over-burn injuries sclera. Check the size of the scler