Оценка эффективности инновационного подхода к барьерной амниопластике в хирургическом лечении первичного прогрессирующего птеригиума

Abstract

The article evaluates the effectiveness of the proposed new method of barrier amnioplasty in the surgical treatment of primary progressive pterygium. The study involved 40 patients with primary progressive pterygium, who, depending on the method of barrier amnioplasty, were divided into 2 groups. Patients of group 1 underwent barrier amnioplasty in the limbus area, group 2 – in the area of plica semilunaris. Comparison of the methods was carried out using standard examination methods, as well as cytological examination and pH-metry of the lacrimal fluid. The developed method of amnioplasty in the area of the plica semilunaris has shown high efficiency: the time of corneal epithelialization was reduced by 1.7 times and the vitalization of the amnion by 1.5 times. An uncomplicated postoperative course of inflammatory and regenerative reactions made it possible to reduce the frequency of recurrence of pterygium, reduce the degree of postoperative astigmatism, and improve visual acuity