软性角膜接触镜对复发性翼状胬肉术后患者舒适度的影响
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大兴区人民医院科研课题项目(No.4201609146)


Soft corneal contact lens for postoperative comfort in patients with recurrent pterygium function
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Scientific Research Project of Daxing District People's Hospital(No.4201609146)

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    摘要:

    目的:评价软性角膜接触镜对复发性翼状胬肉术后患者舒适度的作用。

    方法:复发性翼状胬肉切除术后患者98例100眼,采用上部自体带角膜缘干细胞的结膜植片,转位并覆盖手术区巩膜表面,50眼术后角膜加用角膜绷带镜5d(试验组A组),另外50眼常规包盖(对照组B组),观察术后角膜创面愈合时间以及各种症状和体征的情况。

    结果:胬肉术后1d,A组角膜刺激症状和体征与B组相比,差异有统计学意义(P<0.05); 术后1d,两组患者角膜上皮愈合情况,差异有统计学意义(P<0.05),A组角膜上皮愈合更快。

    结论:角膜接触镜可明显改善患者翼状胬肉术后早期的角膜刺激症状,促进角膜创面愈合,减轻患者术后的不适感。

    Abstract:

    AIM:To evaluate the effect of soft contact lens on the comfort of postoperative patients with recurrent pterygium.

    METHODS: For 100 eyes of 98 patients after recurrent pterygium excision, the conjunctival implant with limbal stem cells from the upper part of the cornea was used, and the scleral surface of the operation area was transferred and covered. Fifty eyes were treated with corneal bandage lens for 5d(Group A)and 50 eyes were conventionally ensheathed(Group B). The time of corneal wound healing and various symptoms and signs were observed after operation.

    RESULTS: Compared with Group B, 1d after pterygium, the symptoms and signs of corneal irritation in Group A were significantly less(P<0.05), and the corneal epithelial healing was significantly faster and better(P<0.05).

    CONCLUSION: The corneal contact lens can obviously improve the early postoperative corneal irritation in patients with pterygium, promote corneal wound healing and relieve postoperative discomfort.

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张茉莉,陈云珍,杜树波.软性角膜接触镜对复发性翼状胬肉术后患者舒适度的影响.国际眼科杂志, 2018,18(11):2100-2102.

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  • 收稿日期:2018-05-24
  • 最后修改日期:2018-09-20
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  • 在线发布日期: 2018-10-22
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