PURPOSE To compare the clinical outcome of pterygium surgery combining intraoperative mitomycin C (MMC) with a free conjunctival autograft, with three other methods of pterygium surgery, including intraoperative MMC alone, conjunctival autograft alone, and bare sclera without adjunctive treatment. DESIGN Interventional, randomized and in part nonrandomized, prospective, comparative study. M...

AIMS To compare the degree of conjunctival autograft inflammation, subconjunctival haemorrhage (SCH) and graft stability following the use of sutures or fibrin glue (FG) during pterygium surgery. METHODS Prospective, observer masked, clinical trial. 40 eyes of 40 patients undergoing primary pterygium surgery with conjunctival autograft were allocated into two groups. Group 1 (n = 20) had FG (...

Aim: To evaluate the results of conjunctival autograft transplantation (CAT) combined with amniotic membrane (AMT) surgery in recurrent pterygium cases. Methods: This is a retrospective interventional case series involving patients admitted to our clinic pterygium. Patients' examination and postoperative findings were taken through standard slit-lamp examinations. Fourteen eyes 14 included stud...

PURPOSE To report a case of pterygium surgery with conjunctival autograft followed by focal necrotizing scleritis due to foreign body entrapment in the scleral bed. CASE REPORT/RESULTS This is a case report of a 76-years-old male patient who underwent nasal pterygium surgery and developed focal necrotizing scleritis secondary to foreign body entrapment under conjunctival autograft. One month ...

Pterygium is characterized by the thickening of the bulbar conjunctiva and the invasion of the cornea from the sclerocorneal limbus to the central portion of the cornea. Pterygium produces corneal deformation, which extends toward the central portion of the cornea. The visual disorders depend on the corneal extent. The treatment goal is the removal of the corneal and conjunctival portion of the...

Background: Pterygium is a common disorder in many parts of the world, with reported prevalence rates ranging from 0.3 to 29%. Epidemiological studies have proposed an association with chronic exposure to sunlight and an increased geographical prevalence within a peri-equatorial ‘pterygium belt’ region (1). Pterygium excision is often combined with various adjunctive measures to prevent its rec...

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...

AIMS To evaluate the efficiency of multimicroporous expanded polytetrafluoroethylene (e-PTFE) insertion in complicated multirecurrent pterygia. METHODS A total of 62 eyes from 62 patients with a multirecurrent pterygium associated with symblepharon or motility restriction-related binocular diplopia were recruited. All eyes underwent pterygia excision followed by application of 0.033% mitomyci...