Pterygium excision combined with low-temperature plasma radiofrequency ablation and autologous conjunctival flap transplantation in the treatment of pterygium
10.3980/j.issn.1672-5123.2025.11.27
- VernacularTitle:翼状胬肉切除联合低温等离子射频消融术及自体结膜瓣移植治疗翼状胬肉
- Author:
Yaxiang MIAO
1
;
Gaoming ZHANG
1
;
Ting ZHANG
1
;
Mengting XUE
1
;
Hongya TIAN
1
Author Information
1. Department of Ophthalmology, Jiangyin Hospital of Traditional Chinese Medicine, Jiangyin 214400, Jiangsu Province, China
- Publication Type:Journal Article
- Keywords:
pterygium excision;
low-temperature plasma radiofrequency ablation;
autologous conjunctival flap transplantation;
pterygium;
tear film function
- From:
International Eye Science
2025;25(11):1882-1886
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To discuss the impacts of pterygium excision combined with low-temperature plasma radiofrequency ablation and autologous conjunctival flap transplantation on tear film function, visual function, and recurrence rate in patients with pterygium.METHODS: A retrospective study was conducted on patients with pterygium who underwent surgery at Jiangyin Hospital of Traditional Chinese Medicine from March 2021 to January 2024. The patients were divided into two groups based on the surgical methods: the excision group with 50 cases(50 eyes)and the combined group with 51 cases(51 eyes). The excision group underwent pterygium excision, while the combined group received low-temperature plasma radiofrequency ablation and autologous conjunctival flap transplantation in addition to the excision. The tear film function [Schirmer's test(SⅠt), tear film break-up time(BUT)], visual quality, therapeutic effect, incidence of complications within 1 a, and recurrence rate were compared between the two groups before and after treatment.RESULTS: The general data of the two groups were comparable(P>0.05). After treatment, the SⅠt and BUT in the combined group were greater than those in the excision group(both P<0.001), while the corneal astigmatism and uncorrected visual acuity were lower than those in the excision group(both P<0.001). The initial treatment efficiency in the combined group(92%)was higher than that in the excision group(76%). Within 1 a, the recurrence rate(8% vs 22%)and complication rate(6% vs 24%)in the combined group were both lower than those in the excision group(both P< 0.05).CONCLUSION: The union of pterygium excision, low-temperature plasma radiofrequency ablation, and autologous conjunctival flap transplantation is beneficial for improving the efficacy, visual acuity, tear film function, and reducing recurrence rate in patients with pterygium.
