目的:评价角膜接触镜在翼状胬肉切除术中的应用价值。方法:原发性翼状胬肉切除术患者33例40眼,采用上部自体结膜植片,转位并覆盖手术区巩膜表面,20眼术后角膜加用角膜接触镜5d(A组,试验组),另外20眼常规包盖(B组,对照组),观察患者术后上皮愈合速度,角膜刺激症状程度。结果:试验组术后第1,3d角膜刺激症状明显轻于对照组,上皮愈合速度较对照组更快。结论:在翼状胬肉切除术中使用角膜接触镜可以明显减轻术后患者的角膜刺激症状,减少患者的术后不适感,缩短角膜上皮的愈合时间。

AIM:To evaluate the effect of contact lens applied in pterygium excision. ·METHODS:Totally 33 patients 40 eyes underwent pterygium excision combined with conjunctival flap transplantation in our hospital and they were divided equally into A group(contact lens for 5 days) and B group(routine ensheathe withnot contact lens)at random. Corneal irritation and healing of epithelium were observed in these two groups. ·RESULTS:Corneal irritation in A group was much better than that of the B group on the postoperation day 1 and 3. Shorter time healing of epithelium was seen in A group. ·CONCLUSION:Contact lens can alleviate corneal irritation significantly after pterygium excision; shorten the healing time of epithelium.

R779.6