Effects on recovering of corneal wound and postoperative discomfort of different surgical procedures for pterygium

VernacularTitle:不同术式治疗翼状胬肉术后角膜修复情况的对比
Author: Ting, YU ; Xiang-Fei, CHEN ; Yan, WU ; Yu-Hua, SHI ; Ying-Ying, CHENG ; Zhen-Ping, HUANG
Publication Type:Journal Article
Keywords: pterygium; postoperative discomfort; recovering of corneal wound
From: International Eye Science 2016;16(8):1582-1583
CountryChina
Language:Chinese
Abstract: ?AIM: To evaluate the effects on recovering of corneal wound and postoperative discomfort of different methods for primary pterygium.?METHODS: Forty-seven cases ( 60 eyes ) of primary pterygium were excised under microscope with limbal epithelial transplantation, with sharp dissection ( 24 cases, 30 eyes, Group A) and blunt dissection (23 cases, 30 eyes, Group B).All cases were followed up for 1d to 1mo.?RESULTS: The recovering of corneal wound was better in Group B on 1st day and 3rd day after surgery.Pain, photophobia and tears, foreign body sensation were more serious in group A on 1st day after surgery with a statistically significant difference (P=0.005,0.015,0.012). Pain, photophobia and tears, foreign body sensation were more serious in Group A on 3rd day after surgery with a statistically significant difference ( P=0.019,0.018, 0.015).There was no statistically significant difference on 1wk and 1mo after surgery (P>0.05).? CONCLUSION: Compared with sharp dissection, primary pterygium excised with blunt dissection can significantly improve recovering of corneal wound and postoperative discomfort.