자가윤부결막이식술을 이용한 군날개 제거술에서 결막하 섬유혈관 조직의 광범위절제술의 효과

• 영문명: Effectiveness of Wide Excision of Subconjucntival Fibrovascular Tissue with Conjunctivo-Limbal Autograft in Pterygium Surgery
• 발행기관: 대한안과학회
• 저자명: 배성근 이진기 박대진,Sung Geun Bae, MD, Jin Ki Lee, MD, PhD, Dae Jin Park, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number2, 215~222쪽, 전체 8쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.02.15

영문 초록

Purpose: To evaluate the efficacy of wide excision of subconjucntival fibrovascular tissue after conjunctivo-limbal autograft of primary and recurrent pterygium. Methods: Sixty-five eyes of 59 patients underwent pterygium excision with conjunctivo-limbal autograft. Thirty-six eyes of 33 patients had wide excision of pterygium, 29 eyes of 26 patients did not have wide excision of pterygium. All patients underwent follow-up for more than one year. Complications, recurrence rate, and operation time were evaluated. Results: With a minimum of one year of follow-up, there was no recurrence in either group. Six cases (17%) of subconjunctival fibrosis at the donor site, one case (3%) of subconjunctival neovascularization at the donor site, and one case (3%) of wound gapping at the recipient site were noted in the wide excision group. In the non-wide excision group, there were two cases (7%) of subconjunctival fibrosis at the donor site, one case (3%) of granuloma at the donor site, and one case (3%) of retention cyst at the recipient site. Mean operating time in the non-wide excision group (45.2 ± 6.9 minutes) was significantly shorter than that in the wide excision group (62.4 ± 6.2 minutes). Conclusions: Non-wide excision with conjunctivo-limbal autograft in pterygium surgery can be considered an effective treatment with shorter operating time than the wide excision method. Both of these methods show low recurrence rates and few complications for both primary and recurrent pterygia. J Korean Ophthalmol Soc 2012;53(2):215-222

키워드

Conjunctivolimbal autograft, Pterygium, Recurrence rate, Wide excision