目的:探讨翼状胬肉术后巩膜融解发生的原因、处理方法及预防。方法:选取14例均行胬肉单纯切除,11例在术中使用MMC,术后发现巩膜融解后停用激素类眼液,改用非激素类抗生素滴眼液,球结膜下注射妥布霉素+VitC,贝复舒滴眼液、小牛血去蛋白眼用凝胶点眼后加压包封患眼,巩膜融解稳定后,上述眼开放点眼,直至完全修复,对结果进行了回顾性的分析。结果:所有患者均药物保守治愈,巩膜外观平整。结论:翼状胬肉术后巩膜融解的发生与手术方式、手术技巧、术中术后用药及患者体质等多种因素有关,要充分认识翼状胬肉术中、术后处理不当引起巩膜融解的可能性。

AIM:To investigate the causes,treatment and prevention of scleral melt after pterygium excision. METHODS:Totally 14 patients underwent pterygium excision alone,of which 11 cases use of MMC intraoperatively. The hormone eye drops wasn’t applied according to the condition of scleral melt.Non-hormonal antibiotic eye drops,bFGF eye drops combined with calf blood protein eye gel,subconjunctival injection of tobramycin + VitC and pressure dressing were applied.All the results were reviewed and analyzed. RESULTS:All patients were treated with drug,and the sclera kept the smooth surface. CONCLUSION:Scleral melt after pterygium surgery is correlated with surgical methods,surgical techniques, intraoperative and postoperative medication and patient physical factors.Scleral melt after inappropriate handling or excision should be understood.

R779.6