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目的:评价新鲜羊膜移植治疗眼化学伤和翼状胬肉的效果。方法:对16例(18只眼)眼化学伤患者进行新鲜羊膜移植,以及对36例(42只眼)翼状胬肉患者作翼状胬肉切除联合新鲜羊膜移植。结果:术后随访平均18个月,所有化学伤患者结膜、角膜均良好愈合,新生血管明显减少,视力超过0.3者占50.0％。翼状胬肉患者除2只眼外全部一次治愈,翼状胬肉复发率为4.8％。结论:新鲜角膜移植治疗早期眼化学伤有良好效果。翼状胬肉切除联合新鲜羊膜移植是治疗重症翼状胬肉特别是复发性病例的首选方法。
OBJECTIVE: To evaluate the efficacy of fresh amniotic membrane transplantation in the treatment of ocular chemical injuries and pterygium. Methods: Fresh amniotic membrane transplantation was performed in 16 patients (18 eyes) with ocular chemical trauma and 36 cases (42 eyes) of pterygium were treated with pterygium excision and fresh amniotic membrane transplantation. Results: All patients were followed up for an average of 18 months. All the chemical injuries were well conjunctival and corneal healed. Neovascularization was significantly reduced. Visual acuity of more than 0.3 accounted for 50.0%. Patients with pterygium except for 2 eyes were all cured, the recurrence rate of pterygium was 4.8%. Conclusion: Fresh corneal transplantation for early ocular chemical injury has a good effect. Pterygium resection combined with fresh amniotic membrane transplantation is the preferred method of treatment of severe pterygium, especially recurrent cases.