Abstract:
PURPOSE:Surgical excision is the standard treatment for pterygium. This study was conducted to evaluate the safety and efficacy of a novel technique using low-temperature plasma (LTP) for excision and hemostasis in pterygium surgery. METHODS:A prospective, comparative, and randomized clinical trial was conducted on 60 patients (60 eyes) undergoing pterygium excision with conjunctival autografts using fibrin glue. Patients were equally divided into the following 2 groups: a control group and a LTP group. Postoperative follow-up visits were scheduled on day 1, week 1, and months 1 and 3, and recurrence was evaluated at 1 year. Patients were examined for operative time, best corrected visual acuity, conjunctival autograft inflammation (CAI), graft stability (GS), pain, recurrence, and final appearance. Factors related to pterygium recurrence and final appearance were analyzed. RESULTS:Mean operative times were shorter in the LTP group (16.7 ± 3.4 min) than those in the control group (20.1 ± 4.7 min, P = 0.002). LTP eyes had milder CAI than control eyes at postoperative day 1 (P = 0.000) and week 1 (P = 0.000). Patients in the LTP group exhibited better GS (P = 0.01) and milder pain (P = 0.04) than those in the control group on day 1. Two control patients (6.7%) and no (0%) LTP patients experienced recurrence (P = 0.08). GS and CAI were the significant factors contributing to recurrence (GS: R = 0.425, P = 0.001; CAI: R = 0.309, P = 0.016). CONCLUSIONS:LTP to replace surgical blades and disposable cautery for ablation and hemostasis is safe and efficient for pterygium surgery, resulting in shorter operative time, milder inflammation, and better graft stability without increasing complication risk.
journal_name
Corneajournal_title
Corneaauthors
Huang H,Li S,Zhong J,Wang B,Peng L,Deng Y,Wang M,Yuan Jdoi
10.1097/ICO.0000000000002487subject
Has Abstractpub_date
2020-12-01 00:00:00pages
1581-1587issue
12eissn
0277-3740issn
1536-4798pii
00003226-202012000-00019journal_volume
39pub_type
杂志文章相关文献
CORNEA文献大全abstract:PURPOSE:To investigate the effects of pterygium excision with conjunctival autograft plus corneal polishing on ocular higher-order aberrations (HOAs) and to monitor the changes throughout the first postoperative year. METHODS:A total of 18 eyes of 16 patients with primary pterygium who had an indication for surgical e...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e3182431465
更新日期:2012-12-01 00:00:00
abstract:PURPOSE:To examine the efficacy of corneal collagen cross-linking (CXL) for the treatment of keratoconus (KCN). METHODS:A systemic literature review and meta-analysis of ocular functional and structural parameters of patients with KCN undergoing cross-linking procedures were performed using PubMed and the web of scien...
journal_title:Cornea
pub_type: 杂志文章,meta分析,评审
doi:10.1097/ICO.0000000000000723
更新日期:2016-03-01 00:00:00
abstract:PURPOSE:To study the corneal biocompatibility of bevacizumab on various cultured human corneal cells. METHODS:Cell cultures of corneal keratinocytes (CKs), corneal fibroblasts (CFs), and corneal endothelial cells (CECs) were harvested from human donor eyes and exposed to various concentrations of bevacizumab (0.25-5.0...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e3180de1d0a
更新日期:2007-09-01 00:00:00
abstract::To evaluate an innovative technique for intrastromal air injection to achieve deep anterior lamellar keratoplasty (DALK) with bare Descemet membrane (DM). Thirty-four eyes with anterior corneal pathology, including 27 with keratoconus, underwent DALK. After 400 μm trephination with a suction trephine, ultrasound pachy...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e31823f8f2d
更新日期:2012-09-01 00:00:00
abstract::We examined the effects of the immunotoxin 454A12-rRa on proliferating and confluent human corneal epithelium (HCE) in vitro. Proliferating HCE was sensitive to 454A12-rRA in a dose-dependent fashion. At immunotoxin concentrations of 1,000 ng/ml for 7 days we observed an 86% reduction in cell counts. Confluent HCE was...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/00003226-199209000-00010
更新日期:1992-09-01 00:00:00
abstract:PURPOSE:To analyze factors implicating the association of ReNu with MoistureLoc (ReNu ML) multipurpose contact lens solution (MPS) with the increased incidence of Fusarium keratitis. METHODS:Used contact lens cases with and without contact lenses and MPS containers were collected from patients with confirmed or possib...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e31802dd3a4
更新日期:2006-12-01 00:00:00
abstract:PURPOSE:To evaluate best-corrected visual acuity (BCVA), refractive outcome, corneal topography, optical coherence tomography, and endothelial cell density 12 months after femtosecond laser-assisted inverted mushroom keratoplasty. METHODS:We performed a prospective study of a surgical case series of 5 patients undergo...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/QAI.0b013e31815bad0c
更新日期:2008-07-01 00:00:00
abstract:PURPOSE:To describe bilateral microsporidial keratoconjunctivitis in healthy individuals with long-term follow-up. METHODS:Six cases of smear-positive bilateral microsporidial keratoconjunctivitis were diagnosed and followed up during the study period August 2017 to January 2019. Associated risk factors, clinical feat...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0000000000002297
更新日期:2020-07-01 00:00:00
abstract:PURPOSE:To report the histopathologic findings in the host tissue of 2 human keratoconic corneas undergoing maximum-depth anterior lamellar keratoplasty (MDALK) using the manual dissection technique described by Melles. METHODS:Corneal buttons were examined from 2 patients with keratoconus who underwent MDALK using th...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/01.ico.0000179930.97651.8f
更新日期:2006-09-01 00:00:00
abstract:PURPOSE:To report a case of chronic recurrent multifocal osteomyelitis (CRMO) with conjunctival involvement. METHODS:Retrospective chart review. RESULTS:A 10-year-old girl who complained of fatigue and debilitating pain in both hips and legs for >1 year had recurrent episodes of redness and discharge in both eyes wit...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e3181589309
更新日期:2008-01-01 00:00:00
abstract:PURPOSE:To report the first case of fungal keratitis caused by presumed Carpoligna species. METHODS:A 37-year-old gardener sustained a full-thickness, stellate corneal laceration while cutting wood outdoors with a circular saw. Two months after surgical repair, he developed a severe infectious keratitis with descemeto...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e3181af3954
更新日期:2010-04-01 00:00:00
abstract:PURPOSE:To evaluate visual, refractive, and corneal topography outcomes in eyes with keratoconus that have undergone exchange/adjustment surgery with a new intrastromal corneal ring segment (ICRS) combination after unsuccessful visual and/or refractive outcomes after primary ICRS surgery. METHODS:A retrospective nonra...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0000000000001449
更新日期:2018-02-01 00:00:00
abstract:PURPOSE:Subepithelial amyloidosis of the cornea, or gelatinous drop-like corneal dystrophy (GDD), is a severe form of corneal stromal amyloidosis predominantly found in the Japanese population. GDD causes severe visual disturbances with irritating symptoms, and keratoplasty is inevitably complicated by early recurrence...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/00003226-200203000-00010
更新日期:2002-03-01 00:00:00
abstract:PURPOSE:The efficacy of gene therapy using nonviral vector based on polyplex micelle has been studied against corneal neovascularization in mice. METHODS:A block copolymer, poly(ethylene glycol) (PEG)-block-polycation carrying ethylenediamine units in the side chain (PEG-b-P[Asp(DET)]), was prepared. PEG-b-P[Asp(DET)]...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e318206c893
更新日期:2011-12-01 00:00:00
abstract::The purpose of this study was to determine whether corneal epithelial defects and epitheliopathy in patients with unilateral dysfunction of the ophthalmic division of the trigeminal nerve (neurotrophic keratitis) is associated with reduced aqueous tear production. Sensation of the skin, cornea, and nasal mucosa, aqueo...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/00003226-199603000-00005
更新日期:1996-03-01 00:00:00
abstract:PURPOSE:To report a 64-year-old woman's case of infectious crystalline keratopathy (ICK) that occurred 9 years after the penetrating keratoplasty (PKP). METHODS:This study includes clinical history and histopathologic findings of the case. RESULTS:As historic background, the patient underwent PKP for lattice dystroph...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/00003226-199801000-00018
更新日期:1998-01-01 00:00:00
abstract:PURPOSE:To study the effect of topical cyclosporin A on herpetic stromal keratitis (HSK) in a mouse model. METHODS:The corneas of BALB/c mice were infected with herpes simplex type 1 virus. The mice were divided into 4 groups according to topical treatment methods: vehicle solution, 0.01% cyclosporin A, 0.1% cyclospor...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e318160602d
更新日期:2008-05-01 00:00:00
abstract:PURPOSE:The aim of this study is to determine the effect of variation of the exposure time of near-infrared irradiation on corneal stiffening after a bacteriochlorophyll derivative (WST11) with dextran (WST-D) application. METHODS:One hundred four paired eyes of 3-month-old New Zealand White rabbits were included in t...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0000000000001272
更新日期:2017-11-01 00:00:00
abstract:PURPOSE:To review ocular injuries secondary to airbag deployment that were seen in our institution and were reported in the literature. METHODS:Patients examined at our institution between 1997 and 2000 were evaluated for ocular injuries caused by airbags. A review of the medical literature using Medline was performed...
journal_title:Cornea
pub_type: 杂志文章,评审
doi:10.1097/00003226-200103000-00009
更新日期:2001-03-01 00:00:00
abstract:PURPOSE:To examine the tissue samples of 2 corneal recipients from a rabies-infected donor for the presence of rabies to explain their survival. METHODS:Interventional case series with a review of the literature. The explanted corneal donor buttons were examined via nested reverse transcriptase polymerase chain reacti...
journal_title:Cornea
pub_type: 杂志文章,评审
doi:10.1097/ICO.0b013e3181e4572a
更新日期:2011-02-01 00:00:00
abstract:PURPOSE:To compare the process of conjunctival epithelial regeneration after three types of pterygium excision procedures. METHODS:Thirty-eight patients (45 eyes) with primary pterygium were randomly assigned to a bare-sclera procedure (group 1, 15 eyes of 12 patients), bare-sclera with intraoperative mitomycin C (MMC...
journal_title:Cornea
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00003226-200104000-00002
更新日期:2001-04-01 00:00:00
abstract:PURPOSE:To evaluate the efficacy of intraoperative mitomycin-C in excision of ocular surface neoplasia for prevention of recurrence. METHODS:Seven patients (eight eyes), three men and four women, aged 56 to 87 years (mean, 73.8 years), with lesions suspicious for corneal or conjunctival neoplasia, were operated on bet...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/00003226-200201000-00004
更新日期:2002-01-01 00:00:00
abstract:PURPOSE:To investigate the moderately long-term safety and efficacy of repeat penetrating keratoplasty (PK) for treatment of a failed PK graft. METHODS:Retrospective consecutive clinical case series. Of 992 consecutive cases that underwent PK at Baptist Eye Institute, Kyoto, Japan, between April 1998 and September 201...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0000000000001694
更新日期:2018-10-01 00:00:00
abstract:PURPOSE:To measure corneal epithelial thickness (CET) in patients with glaucoma using anterior-segment optical coherence tomography and to evaluate CET changes in relation to corneal epithelial microvilli analyzed by scanning electron microscopy (SEM). METHODS:Twenty-two eyes (16 patients) being treated with preservat...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0000000000001752
更新日期:2018-12-01 00:00:00
abstract:PURPOSE:To report the in vivo confocal microscopy (IVCM) findings of a case who underwent femtosecond laser-assisted Bowman layer transplantation (BLT). METHODS:This is a case report. RESULTS:In a 25-year-old man with previous diagnosis of keratoconus in whom a BLT was performed using the femtosecond laser-assisted t...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0000000000002561
更新日期:2020-10-19 00:00:00
abstract:PURPOSE:To report the histologic findings in three explanted osteo-odontokeratoprosthesis (OOKP) laminae. METHODS:The osteodental lamina of patient 1 with linear IgA bullous dermatosis had to be explanted 15 months after OOKP surgery because of permanent leakage after the resorption of the inferior half of the bone/de...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/00003226-200205000-00013
更新日期:2002-05-01 00:00:00
abstract::Four patients had removal of their epikeratoplasty lenticules for unsatisfactory visual results. This was out of a consecutive series of 36 eyes. Three eyes were myopic and one was aphakic. In all four eyes, there was significant corneal steepening with an average increase in myopia of 2.4 diopters and an average incr...
journal_title:Cornea
pub_type: 杂志文章
doi:
更新日期:1989-12-01 00:00:00
abstract:PURPOSE:To characterize the clinical presentation of limbal stem cell deficiency (LSCD) associated with glaucoma surgeries. METHODS:This is a retrospective cross-sectional study of patients with LSCD and glaucoma who presented to the Stein Eye Institute at the University of California, Los Angeles, between 2009 and 20...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0000000000002249
更新日期:2020-05-01 00:00:00
abstract:PURPOSE:To test whether verteporfin with a nonthermal laser increases corneal mechanical stiffness and resistance to enzymatic degradation ex vivo. METHODS:Thirty human corneas (n = 5 per group) were treated with verteporfin alone (V), irradiated with nonthermal laser therapy (689 nm) alone (NTL), or received combined...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0000000000001473
更新日期:2018-03-01 00:00:00
abstract:PURPOSE:To report the case of a patient who initially presented with primary acquired melanosis (PAM) without atypia of the conjunctiva and later developed lentigo maligna of the eyelids and PAM with atypia of the conjunctiva. We illustrate the utility of combination topical therapy with adjunctive cryotherapy to treat...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0000000000000277
更新日期:2015-01-01 00:00:00