Observation of limbal stem cell and amniotic membrane transplantation for treatment of pterygium
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R779.6

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    Abstract:

    AIM:To observe the limbal stem cell transplantation and amniotic membrane transplantation for treatment of pterygium.·METHODS:A total of 126 cases (142 eyes) with wing-shaped pterygium were randomly divided into A,B group,A group of 64 cases (72 eyes) underwent pterygium excision combined with limbal stem cell transplantation;B group of 62 cases (70 eyes) underwent pterygium excision with amniotic membrane transplantation.1 week,1 month,and 3 months after operation,the growth of grafts,corneal wound healing,corneal new blood tube and pterygium recurrence rate were observed and compared.Postoperative follow-up of 24 months.was conducted.·RESULTS:A and B groups conjunctiva epithelial healing time was (2.6±0.4) day and (3.2±0.7) day,the difference was significant (P<0.05);A group had 2 cases (2 eyes) with pterygium recurrence,the cure rate was 97.1%,the recurrence rate of 2.9%;B group had 9 cases(12 eyes) with pterygium recurrence,the cure rate was 81.8%,the recurrence rate of 18.2%;difference between the two groups was statistically significant (P=0.003).·CONCLUSION:Self limbal stem cell transplantation and amniotic membrane transplantation can be effective in preventing the recurrence of pterygium,with advantages of less trauma,fast repair,mild postoperative symptoms and low recurrence rate.

    Reference
    1 葛坚.眼科学.北京:人民卫生出版社2005:135
    2 Todani A, Melki SA. Pterygium: current concepts in pathogenesis and treatment. Int Ophthalmol Clin 2009;49(1):21-30
    3 Dua HS, Azuara-Blanco A. Autologous limbal transplantation in patients with unilateral corneal stem cell deficiency. Br J Ophthalmol 2000;84(3):273-278
    4 魏淑蓉,镡鲁滨,崔月丽.自体角膜缘上皮移植和羊膜移植治疗翼状胬肉效果分析.国际眼科杂志2005;5(3):583-585
    5 杨利芳.自体角膜缘干细胞移植治疗翼状胬肉疗效分析.国际眼科杂志2008;8(11):2358
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Shi-Qiang Zhong, Jing Sima, Shu-Ni Zhang,/et al.Observation of limbal stem cell and amniotic membrane transplantation for treatment of pterygium. Guoji Yanke Zazhi( Int Eye Sci) 2010;10(2):390-391

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