【摘要】 目的：观察氩激光治疗翼状胬肉的临床疗效。
方法：应用氩离子激光对早期及术后复发翼状胬肉的新生血管进行光凝治疗，术后随访观察血管及结膜情况。
结果：术后结膜无充血, 多数细小新生血管消失，少数血管再通。翼状胬肉停止生长或缓慢生长。结论：氩激光治疗翼状胬肉, 痛苦小, 疗效好, 操作简单, 对抑制胬肉生长、防止胬肉复发起到较满意的效果。
【关键词】 氩激光；翼状胬肉
Analysis of treating pterygium by argon laser
Yan Luo, JinYing Wang, XuKang Cheng
Department of Ophthalmology, Wuhan No.1 Hospital, Wuhan 430022, Hubei Province, China
Abstract
AIM: To investigate the clinical effect of argon laser in the treatment of pterygium.
METHODS: To treat the early postoperative recurrence of pterygium neovascularization on photocoagulation in application of argon ion laser, postoperative followup observation of conjunctival blood vessels and the situation.
RESULTS: Conjunctiva did not hyperemia after operation. The majority of small neovascularization disappeared. A small number of vascular recanalization. Pterygium stop growing or slow growth
CONCLUSION: Treatment of pterygium with argon laser through photocoagulation of neovascularization can inhibit the growth of early pterygium and the recurrence after operation. It is an effective and simple therapy with little pain.
KEYWORDS: argon laser; pterygium
0引言
翼状胬肉是眼局部球结膜纤维血管组织呈三角形增生而侵犯角膜的一种疾病,是临床最常见的眼科疾病之一,单眼或双眼受累。翼状胬肉不仅可引起外观缺陷,还可由于牵引而引起眼部不适、眼刺激征、角膜散光，严重者影响视力和不同程度地影响眼球运动。目前治疗胬肉仍以手术为主,常用的手术方法有单纯切除[1]、结膜移植[2]、角膜缘干细胞移植、羊膜移植和板层角膜移植等[3],但是,术后胬肉复发一直不能满意解决,而复发性胬肉的处理比较棘手。我们应用氩离子激光对早期及术后复发翼状胬肉的新生血管进行光凝治疗，抑制胬肉的生长及防止胬肉复发,疗效良好。现报告如下。
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