治疗性软性角膜接触镜在翼状胬肉手术中的应用和评价
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Application and evaluation of the therapeutic soft corneal contact lens in pterygium surgery
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    摘要:

    目的:评价翼状胬肉术后配戴治疗性软性角膜接触镜的术后反应和角膜创面的修复情况。

    方法:将原发性单侧翼状胬肉患者88例100眼随机平均分成试验组和对照组(各50眼),两组均实施单纯翼状胬肉切除联合自体结膜移植术,试验组术后直接予以配戴治疗性软性角膜接触镜,对照组术后2d加压包扎术眼,两组术后均给予抗生素滴眼液和促进角膜创面修复眼药水点眼,观察术后患者角膜创面恢复情况及眼部刺激症状。

    结果:试验组术后角膜创面愈合速度明显快于对照组,角膜刺激症状较对照组明显减轻且持续时间缩短。

    结论:治疗性软性角膜接触镜能加速翼状胬肉术后角膜创面的修复,有效缓解患者的眼部刺激症状,并能提高医务人员工作效率,值得临床医师推广应用。

    Abstract:

    AIM: To evaluate the postoperative reaction and corneal wound healing of patients wearing therapeutic soft contact lenses after the Pterygium surgery.

    METHODS: Totally 100 eyes of 88 patients with unilateral primary pterygium who underwent simple excision combined with conjunctival autograft transplantation were randomly divided into treatment group and control group(each 50 eyes). In treatment group, patients were asked to wear therapeutic soft contact lenses after the surgery while pressure bandage was performed at 2d postoperatively in control group. Antibiotic eye drops and drops to promote the corneal wound recovery were given to all patients, and then irritation symptoms and the recovery level of corneal wound were observed.

    RESULTS: Healing speed of the patients' corneal wound in treatment group was faster than the control group after the surgery. At the same time, it had alleviated the corneal irritation symptoms effectively and shortened the duration compared with the control group.

    CONCLUSION: Wearing therapeutic soft contact lenses after pterygium surgery can accelerate corneal wound recovery and alleviate the eye irritation symptoms effectively, as well as improve work efficiency of the medical staff. It is worthy of popularization and application.

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陈雅琼,张敏,明玥,等.治疗性软性角膜接触镜在翼状胬肉手术中的应用和评价.国际眼科杂志, 2014,14(3):556-558.

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  • 收稿日期:2013-12-19
  • 最后修改日期:2014-02-14
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  • 在线发布日期: 2014-02-27
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