A Successful Case of Double-Headed Pterygium Treatment

本文报道1例73岁男性患者，患有右侧双头翼状胬肉。文中还简要回顾了近期关于翼状胬肉的病因、相关风险因素、手术类型及管理方法的文献。该患者是一名田间工人，除了8年前因“树枝捅伤”行右眼缝合手术外，患者没有其他眼部手术史。在局部麻醉下，成功进行了右眼颞侧和鼻侧的翼状胬肉切除伴自体结膜瓣移植术。术后的随访中，结膜自体移植位置稳定，未出现感染、角膜变薄或移位等并发症。This article reports a 73-year-old male patient with right-sided double-headed pterygium. The paper also briefly reviews recent literature on the etiology, related risk factors, surgical types, and management approaches of pterygium. The patient, a field worker, had no prior ocular surgery history except for a right eye suture operation 8 years ago due to a “tree branch injury”. Under local anesthesia, right temporal and nasal pterygium excision with autologous conjunctival flap transplantation was successfully performed. During postoperative follow-up, the autologous conjunctival graft remained stable without complications such as infection, corneal thinning, or displacement.