角膜绷带镜对翼状胬肉切除联合自体结膜瓣移植术后角膜上皮愈合及疼痛的影响

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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.

Key words： Bandage contact lenses Fluorescent staining Pain Corneal epithelium

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	SHEN Qiu1 YANG Weihua2▲

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SHEN Qiu1 YANG Weihua2▲. Effect of bandage contact lens on pain and corneal epithelium healing condition after pterygium excision combined with autologous conjunctival flap graft transplantation[J]. 中国医药导报, 2017, 14(15): 131-134.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2017/V14/I15/131

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