Effect of bandage contact lens on pain and corneal epithelium healing condition after pterygium excision combined with autologous conjunctival flap graft transplantation
SHEN Qiu1 YANG Weihua2▲
1.Department of Ophthalmology,First People's Hospital of Huzhou, Zhejiang Province, Huzhou 313000, China;
2.Department of Ophthalmology, First Affiliated Hospital of Huzhou University, Zhejiang Province, Huzhou 313000, China
Abstract:Objective To assess the effect of bandage contact lens on the degree of pain and corneal epithelium healing condition after pterygium excision combined with autologous conjunctival flap graft transplantation. Methods From July 2015 to July 2016, in the First Affiliated Hospital of Huzhou University, 116 patients with pterygium were divided into two groups, according to using bandage contact lens or not, group A (60 cases, 60 eyes) was given bandage contact lens at 1 week after surgrey, group B (56 cases, 56 eyes) was not given bandage contact lens. The degree of pain after surgery was evaluated by visual analogue score (VAS) between two groups at 2 h, 1 d and 1 week after surgery. The healing status of corneal epithelium was observed between the two groups at 2 h, 1 d and 1 week after surgery by fluorescent staining. Results VAS 2 h, 1 d and 1 week after surgery in group A were compared with group B, the differences were statistically significant (P < 0.01). The score of corneal epithelium healing condition at 2 h after surgery of group A and group B were compared, the differences were not statistically significant (P > 0.05). The scores of corneal epithelium healing condition at 1 d and 1 week of two groups were compared, the differences were statistically significant (P < 0.01). Conclusion Bandage contact lenses can significantly release pain response and promote the healing status of corneal epithelium after pterygium excision combined with autologous conjunctival flap graft transplantation.
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