Application of bandage contact lens in pterygium excision combined with conjunctival transplantation in older adults and evaluation on its efficacy
10.13481/j.1671-587x.20160533
- VernacularTitle:老年翼状胬肉患者翼状胬肉切除联合结膜移植术后绷带式角膜接触镜的应用及效果评价
- Author:
Yan LU
;
Xiuhong QIN
;
Xiang MA
;
Zhili LU
- Publication Type:Journal Article
- Keywords:
pterygium;
bandage type corneal contact lens;
corneal epithelium;
conjunctival transplantation
- From:
Journal of Jilin University(Medicine Edition)
2016;42(5):1005-1009
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To discuss the clinical efficacy of bandage contact lens (BCL)in pterygium excision combined with conjunctival transplantation for the older adults,and to explain its advantages.Methods:The clinical materials of 70 older patients (70 eyes ) who underwent the pterygium excision combined with conjunctival transplantation were retrospectively analyzed.They were divided into two groups according to the postoperative treatment.In the observation group,35 cases (35 eyes)wore BCL after operation.In control group,35 cases (35 eyes)were covered with normal eye pad.The scores of blurred vision,photophobia,foreign body sensation, lacrimation,eye-soreness,corneal fluorescence stain (FSC)and epithelial defect areas were observed at 1,3,7 and 10 d afer operation.Results:The scores of blurred vision,photophobia,foreign body sensation,lacrimation,eye-soreness of the patients in observation group were significantly lower than those in control group at 1,3,and 7 d afer operation (P <0.05).The scores of FSC and epithelial defect areas of the patients in observation group were significantly lower than those in control group at 3 and 7 d afer operation (P <0.05).There were no significant differences in blurred vision,photophobia,foreign body sensation,lacrimation,eye-soreness,FSC and epithelial defect areas of the patients at 10 d afer operation between two groups (P >0.05).No complications of infection and implant healing badness were observed in all patients.Conclusion:BCL can significantly reduce the irritations after pterygium excision combined with conjunctival transplantation for the older adults and promote the healing of the corneal epithelium.
