角膜绷带镜在翼状胬肉术后的应用探讨  

Application of corneal bandages contact lens after the operation of pterygium

作　　者：黄玉梅[1] 孙洪坤[2] 王琳[3] 张会芝[3] 卢艳敏[4] 王丽君[3] HUANG Yumei1, SUN Hongkun2, WANG Lin3 ,ZHANG Huizhi3, LU Yanmin4, WANG Lijun3(1 Department of Prosthodontics, Binzhou Medical University Hospital, Binzhou 256003,P. R. China ; 2 Hematological Departnent, Binzhou Medical University Hospital ;3 Departnent of Ophthalmology, Binzhou Medical University Hospital; 4 Department of Nutrition, Binzhou Medical University Hospita)

机构地区：[1]滨州医学院附属医院口腔修复科,滨州256003 [2]滨州医学院附属医院血液内科 [3]滨州医学院附属医院眼科 [4]滨州医学院附属医院营养科

出　　处：《滨州医学院学报》2018年第4期278-280,283,共4页Journal of Binzhou Medical University

摘　　要：目的对翼状胬肉患者术后行角膜绷带镜覆盖创面,探讨其临床效果。方法选取2015年6月至2017年6月我院收治的原发性翼状胬肉患者112例(112眼),按照随机数字表法,将其分成2组,其中对照组54例,试验组58例,行翼状胬肉切除术+自体角膜缘干细胞移植术。对照组:术后直接给予纱布敷眼;试验组:手术结束时佩戴角膜绷带镜,术后10 d摘除并记录角膜染色情况。记录两组患者术后6 h、第1 d及第10 d术眼疼痛情况;记录术前及术后1个月、3个月术眼的最佳矫正视力、角膜散光度、角膜地形图表面不对称指数、角膜规则指数;记录术后第1 d,术后第10 d创面愈合情况。记录术前及术后10 d术眼泪膜破裂时间。记录术后6个月胬肉复发情况。结果术后10 d时观察角膜创面荧光素染色情况,对照组角膜染色阳性率高于对照组;术后6 h、术后1 d试验组疼痛指数明显低于对照组;试验组的术后1个月、3个月散光度、SNP、SAI均低于对照组。结论翼状胬肉患者术后使用绷带镜,促进角膜创面修复,可减轻眼部疼痛反应,降低术后角膜散光,提高视觉质量。Objective To evaluate the clinical effect of corneal bandages contact lens covering wounds after the operation of pterygium. Methods One hundred twelve cases（ 112 eyes） of primary pterygium were selected from June 2015 to June 2017. They were divided into 2 groups according to the random number table method, of which 54 were in the control group and 58 were in the experiment group. All patients received pterygium resection and autologous corneal limbal stem cell transplantation. Patients in the control group were directly treated with gauze after operation. Patients in the experiment group wore corneal bandages at the end of the operation which were removed 10 day-s after the operation, and the corneal staining was recorded. The pain of the operated eyes was recorded six hours, one day and ten days after the operation in both groups of patients. The best correction vision, corneal astigmatism, surface asymmetry index of corneal topographic map, and surface regularity index were recorded before the operation and 1 month and 3 months after the operation. The wound healing was recorded one day and ten days after the operation. Breaking up time （BUT） of tear fihn of operated eyes was recorded before the operation and 10 days after the operation. The reemTenee of pterygium 6 months after the operation was reeorded. Results Ten day-s after the operation, the status of corneal wound fluorescence staining was observed, the positive rate of corneal staining in the experimental group was higher than that of the control group. The pain indexes of the experiment group 6 hours and one day after the operation were significantly lower than those of the control group. Astigmatism, SNP, and SAI in the experiment group 1 month and 3 months after the operation were all lower than those of the control group. Conclusion The use of corneal bandages contact lens in pterygium patients after surgery can reduce the pain response of the eyes, promote the repair of corneal wounds, reduce postoperative corneal astigmatism, and improv

关 键 词：翼状胬肉 角膜绷带镜 角膜 

分 类 号：R779.6[医药卫生—眼科]