绷带式角膜接触镜在翼状胬肉切除合并结膜移植术的应用

Clinical observation on bandage contact lens applied in pterygium excision combined with conjunctival transplantation

摘要:

目的：探讨绷带式角膜接触镜应用于翼状胬肉切除合并结膜移植术的临床效果。

方法：回顾性分析2012-06/2013-06行翼状胬肉切除合并结膜移植术101例114眼的临床资料，按术后处理方式分为A、B、C三组，A组30例38眼，配戴绷带式角膜接触镜，B组33例38眼，绷带加压包扎，C组38例38眼，遮盖普通眼垫，术后第1，3，5d观察。

结果：选取114眼术后随诊均未发生角膜溃疡、肉芽肿、复发等并发症。三组间比较在各种眼部刺激症状程度方面A组比其他两组轻； 术后角膜上皮修复时间上比较A、B组短于C组。

结论：绷带式角膜接触镜能明显减轻翼状胬肉切除合并结膜移植术后患者各种眼部刺激症状，促进缺损区角膜上皮修复，与传统处理方式比较能明显提高患者术后的舒适度，易于推广，风险小，具有广泛的临床实用价值。

Abstract:

AIM: To observe the clinical effect of bandage contact lens in pterygium excision combined with conjunctival transplantation.

METHODS: The retrospective study included 114 eyes of 101 patients who underwent the pterygium excision combined with conjunctival transplantation from June 2012 to June 2013 in our hospital. The patients were divided into three groups according to the postoperative treatment. In group A, 30 cases(38 eyes)wore bandage contact lens; In group B, compression bandage was used in all the 33 cases(38 eyes); In group C, 38 eyes(38 cases)were covered with normal eye pad. All patients were examined 1, 3, 5d after surgery.

RESULTS:No complications such as corneal ulcer, granuloma, etc. or recurrence occurred in 114 eyes. Eye irritations in group A were less severe than in the other two groups. Postoperative repair time of corneal epithelium was shorter in group A and B than in group C.

CONCLUSION: Bandage contact lens can significantly reduce the irritations after pterygium excision combined with conjunctival transplantation and promote corneal epithelium repair in the defected area. Compared with traditional treatment, it can obviously increase the postoperative comfort level in patients, it is easy to promote its application, and it has lesser risks. So it has extensive clinical value.