老年翼状胬肉患者翼状胬肉切除联合结膜移植术后绷带式角膜接触镜的应用及效果评价  

Application of bandage contact lens in pterygium excision combined with conjunctival transplantation in older adults and evaluation on its efficacy

作　　者：卢嬿 秦秀虹[1] 马翔[1] 鲁智莉[1] 

机构地区：[1]大连医科大学附属第一医院眼科,辽宁大连116011

出　　处：《吉林大学学报（医学版）》2016年第5期1005-1009,共5页Journal of Jilin University：Medicine Edition

基　　金：辽宁省科学技术计划项目资助课题(2013225002)

摘　　要：目的:探讨老年人翼状胬肉切除联合结膜移植术后应用绷带式角膜接触镜(BCL)的临床疗效,并阐明该疗法的优势。方法:回顾性分析本院70例70眼老年翼状胬肉患者的临床资料,按术后处理方法分为2组,观察组(BCL组)35例35眼,行翼状胬肉切除联合结膜移植术,术毕术眼立即配戴BCL;对照组35例35眼,术毕常规纱块敷料包眼。观察患者术后1、3和7和10d视物模糊、畏光、异物感、流泪和眼痛的症状评分、角膜荧光素染色(FSC)评分和角膜上皮缺损面积。结果:术后第1、3和7天,观察组患者视物模糊、畏光、异物感、流泪和眼痛症状评分均低于对照组(P<0.05)。术后第3和7天,观察组患者FSC评分和角膜上皮缺损面积均低于对照组(P<0.05)。术后10d2组患者不适症状、FSC评分和角膜上皮缺损面积比较差异无统计学意义(P>0.05)。随访期间,所有患者均未发生角膜感染和植片脱落等并发症。结论:BCL能明显缓解老年人翼状胬肉切除术后的不适感,促进角膜上皮愈合。Objective： To discuss the clinical efficacy of bandage contact lens （BCL）in pterygium excision combined with conjunctival transplantation for the older adults,and to explain its advantages.Methods：The clinical materials of 70 older patients （70 eyes ） who underwent the pterygium excision combined with conjunctival transplantation were retrospectively analyzed.They were divided into two groups according to the postoperative treatment.In the observation group,35 cases （35 eyes）wore BCL after operation.In control group,35 cases （35 eyes）were covered with normal eye pad.The scores of blurred vision,photophobia,foreign body sensation, lacrimation,eye-soreness,corneal fluorescence stain （FSC）and epithelial defect areas were observed at 1,3,7 and 10 d afer operation.Results：The scores of blurred vision,photophobia,foreign body sensation,lacrimation,eye-soreness of the patients in observation group were significantly lower than those in control group at 1,3,and 7 d afer operation （P 〈0.05）.The scores of FSC and epithelial defect areas of the patients in observation group were significantly lower than those in control group at 3 and 7 d afer operation （P 〈0.05）.There were no significant differences in blurred vision,photophobia,foreign body sensation,lacrimation,eye-soreness,FSC and epithelial＆amp;nbsp;defect areas of the patients at 10 d afer operation between two groups （P 〉0.05）.No complications of infection and implant healing badness were observed in all patients.Conclusion：BCL can significantly reduce the irritations after pterygium excision combined with conjunctival transplantation for the older adults and promote the healing of the corneal epithelium.

关 键 词：翼状胬肉 绷带式角膜接触镜 角膜上皮 结膜移植 

分 类 号：R779.6[医药卫生—眼科]