This paper will discuss the different approaches to the surgical management of pterygium, emphasizing the conjunctival autograft technique and the use of antimetabolites. HISTORICAL PERSPECTIVE Clinically, a pterygium is a wing-shaped fibrovascular growth arising from the bulbar conjunctiva onto the superficial cornea.1 It is composed of a body, which overlies the sclera, and a head, which conf...

BACKGROUND/AIMS Bare sclera resection with and without use of mitomycin C and conjunctival autograft placement are three surgical techniques currently in use for the treatment of primary pterygium. The purpose of this study was to determine through a meta-analysis the risk for postoperative pterygium recurrence comparing the three surgical treatment modalities. METHODS A search through Medlin...

Pterygium is an abnormal fibrovascular tissue extending on the cornea which is a degenerative and hyperplastic disorder. A stromal overgrowth of fibroblast and blood vessels is accompanied by an inflammatory cell infiltrate and abnormal extracellular matrix accumulation. The surgical excision is the main treatment method of pterygium, but recurrence is the most common postoperative complication...

PURPOSE To evaluate the efficacy of conjunctival autograft after the pterygium excision with fibrin adhesive using conjunctiva over the pterygium. PATIENTS AND METHODS This prospective study included 25 eyes of 25 patients with a mean age of 40±10 years, who underwent the pterygium excision with conjunctival autograft derived from the body of the pterygium and attached using fibrin glue. The ...

PURPOSE In the field of ophthalmology, the conjunctival autograft is a useful therapeutic material in many cases, but the small size of the autograft is a disadvantage. Therefore, we evaluated the feasibility of taking an expanded sample of conjunctival tissue using a subtenon's silicone implant. MATERIALS AND METHODS We included a total of nine rabbits; eight rabbits were operative cases, an...

Purpose: To compare and evaluate the safety and efficacy of suture less glue free limbal conjunctival autograft and conventional sutured autograft for the management of primary pterygium. Methods: The Randomized clinical trial was done with 100 male and female patients with diagnosis of primary/ Progressive pterygium from October 2014 to September 2016. The study groups randomly selected into 2...

PURPOSE To evaluate the efficacy and safety of pterygium excision using a large conjunctival autograft for the treatment of recurrent pterygium. METHODS The medical records of 120 patients (126 eyes) with recurrent pterygium were reviewed. For each affected eye, pterygium excision with a large conjunctival autograft was performed. The graft was harvested from the superior bulbar area and meas...