JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2016, Vol. 30 ›› Issue (4): 109-112.doi: 10.6040/j.issn.1673-3770.0.2016.010

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Analysis of efficacy of corneal bandage lens after pterygium resection.

SHENG Xia, CHEN Hui, DENG Hong, XIE Qing   

  1. Department of Ophthalmology, Central South University Xiangya School of Medicne Affiliated Haikou Hospital, Haikou 570208, Hainan, China
  • Received:2016-01-12 Online:2016-08-16 Published:2016-08-16

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Abstract: Objective To evaluate the effectiveness of corneal bandage lens after pterygium resection combined with autologous limbal stem cell implantation. Methods A total of 58 patients(62 eyes)with pterygium were selected and given pterygium resection combined with autologous limbal stem cell implantation. They were randomly divided into experimental group and control group, 29 patients(31 eyes)for each group. Experimental group was given corneal bandage lens on postoperative d1, while control group was treated with routine eye pad dressing. Eye conditions 1 d, 4 d, 7 d and 1 month after operation and recovery condition 9 months after operation were observed in both groups. Results There were significant differences between two groups in eye condition scales 1 d and 4 d after operation(P<0.05), but the differences were not significant 7 d and 1 month after operation(P>0.05). There was interaction between time and grouping factors(P<0.05). And 9 month after operation, there was no significant difference between two groups in recurrence rate(P>0.05). Conclusion Application of corneal bandage lens after pterygium resection has no significant influence on postoperative recurrence rate of pterygium, but can relieve the corneal discomfort, and increase patients comfort, so it is an simple, effective and suitable complementary therapeutic method deserving to be popularized.

Key words: pterygium, limbal stem cell implantation, corneal contact lens, eye pad

CLC Number: 

  • R777.33
[1] 赵堪兴, 杨培增. 眼科学[M]. 8版. 北京:人民卫生出版社, 2013: 117-118.
[2] 王小琴, 生侠, 谢青.逆行撕除法联合MMC及自体角膜缘干细胞移植治疗翼状胬肉[J]. 国际眼科杂志, 2013, 13(7):1500-1501. WANG Xiaoqin, SHENG Xia, XIE Qing. Retrograde rip of pterygium combined with mmc and limbal stem cell autograft transplantation[J]. Inter Eye Sci, 2013, 13(7):1500-1501.
[3] 赵家良, 黎晓新, 董冬生, 等. 普拉洛芬滴眼液治疗白内障术后炎症和非感染性眼前段炎症的临床评价[J]. 眼科研究, 2000, 18(6):560-564. ZHAO Jialiang, LI Xiaoxin, DONG Dongsheng, et al. Clinical assessment of pranoprofen eyedrops on postoperative inflammation of cataract extraction and non-infection inflammation of the anterior segments of the eye[J]. Chin Ophthal Res, 2000, 18(6):560-564.
[4] 王鹤平. 绷带型角膜接触镜在翼状胬肉手术中应用的临床观察[J]. 中国医学创新, 2015, 12(4):8-10. WANG Heping. Clinical observation of bandag type corneal contact lens applied in pterygium excision[J]. Med Innovation Chin, 2015, 12(4):8-10.
[5] 葛坚, 赵家良, 黎晓新. 眼科学[M]. 北京:人民卫生出版社, 2010:166-167.
[6] 姜严明, 魏琳, 蔡春梅, 等. 绷带镜治疗糖尿病患者玻璃体切割术后角膜上皮缺损的临床观察[J].中国中医眼科杂志, 2015, 25(3):191-193. JIANG Yanming, WEI Lin, CAI Chunmei, et al. Bandage contact lens for corneal epithelium defect after vitrectomy of diabetes patients[J]. Chin J Chin Ophthalmol, 2015, 25(3):191-193.
[7] Panda A, Das G K, Tuk S W, et al. Randomized trial of intraoperative mitomycin C in surgery for pterygium[J]. Am J Ophthalmol, 1998, 125(1):59-63.
[8] 潘建兵, 冯一帆. 环孢素A在防止翼状胬肉术后复发中作用的Meta分析[J].中华眼科杂志, 2013, 32(11):1069-1073. PAN Jianbing, FENG Yifan. Meta analysis of the topical administration of cyclosporine a in the prevention of pterygium recurrence[J]. Chin J Exp Ophthalmol, 2013, 32(11):1069-1073.
[9] 徐海龙, 李勇. 5-FU联合自体角膜缘干细胞移植治疗复发性翼状胬肉[J].国际眼科杂志, 2013, 13(2):380-381. XU Hailong, LI Yong. 5-fu combined with limbal stem cell autograft transplantation for recurrent pterygium[J]. Inter Eye Sci, 2013, 13(2):380-381.
[10] 唐浩英, 卢敏, 叶炳林, 等.翼状胬肉切除术中佩戴角膜接触镜疗效分析[J]. 中国实用眼科杂志, 2014, 32(5):652-654. TANG Haoying, LU Min, YE Binglin, et al. Effects of pterygium excision with corneal contact lens on the prognosis of pterygium patients[J]. Chin J Pract Ophthalmol, 2014, 32(5):652-654.
[11] Chen Y Q, Zhang M, Ming Y, et al. Application and evaluation of the therapeutic soft corneal contact lens in pterygium surgery[J]. Int Eye Sci, 2014, 14(3):556-558.
[12] 朱洪燕, 魏英丽, 刘洋, 等. 角膜绷带镜治疗不同类型干眼症疗效观察[J]. 中国现代医药杂志, 2015, 17(6):34-36. ZHU Hongyan, WEI Yingli, LIU Yang, et al. Clinical curative effect of corneal bandage lens in the treatment of different types of dry eye[J]. Mod Med J Chin, 2015, 17(6):34-36.
[13] Peng J, Sha X Y, Liu Y, et al. Pterygium epithelium abnormal differentiation related to activation of extracellular signal-regulated kinase signaling pathway in vitro[J]. Int J Ophthalmol, 2015, 8(6):1118-1125.
[14] Al Barqi M, Behrens A, Alfawaz A M. Clinical features and visual outcomes of scleritis patients presented to tertiary care eye centers in Saudi Arabia[J]. Int J Ophthalmol, 2015, 8(6):1215-1219.
[15] 罗霁菡, 匡毅, 赵琳. 翼状胬肉转位术联合羊膜移植加绷带型角膜接触镜的疗效观察[J]. 重庆医学, 2013, 43(9):1135-1137. LUO Qihan, KUANG Yi, ZHAO Lin. Observation of efficacy of pterygium transplantation combined with amniotic membrane transplantation plus bandage corneal contact lens[J]. Chongqing Med, 2013, 43(9):1135-1137.
[16] Park H S, Lee J H, Kim H K. Comparative clinical study of conjunctival toxicities of newer generation fluoroquinolones without the influence of preservatives[J].Int J Ophthalmol, 2015, 8(6):1220-1223.
[1] DAI Lihua, GUO Xia, ZHANG Jingjing. Changes of tear film and tear secretion in patients before and after pterygial excision combined with conjunctival autografts. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(6): 67-69.
[2] WANG Dan, WANG Rui, ZHANG Qiming, WANG Liwen. Clinical observation on the effects of three surgical methods for pterygium. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(2): 94-97.
[3] KONG Xiangfeng. Effect of pterygium excision with limbal-conjunctival flap grafting and wearing corneal contact lens [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(3): 93-94.
[4] LI Mei. Clinical observation of modified pterygium excision with limbal-conjunctival flap grafting [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(2): 89-90.
[5] YU Xiao-ming, WU Xin-yi. Meta-analysis of limbal stem cell transplantation and amniotic membrane transplantation for pterygium [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(1): 66-71.
[6] WANG Yuxia, XIAO Ying， SUN Hongyi, GAO Xue， LIU Jing， CHEN Guoling, YANG Lixia. Four surgical treatments of pterygium on 168 eyes [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2010, 24(3): 64-66.
[7] YAN Rui,ZHU Lin-jie . Transplantation of limbal autograft following microsurgery for pterygium [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2007, 21(3): 243-244 .
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