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Lions Eye Hospital

Pterygium Surgery

Insights on Pterygium Surgery

What is Pterygium Surgery ?

Pterygium surgery is a procedure performed to remove a pterygium, which is a non-cancerous growth of tissue on the conjunctiva (the thin, clear membrane covering the white part of the eye) that extends onto the cornea. This growth, often caused by prolonged UV exposure, irritation from dust, wind, or dry conditions, can affect vision if it grows large enough to interfere with the cornea. The surgery involves removing the pterygium and, in most cases, replacing the removed tissue with a graft (either from the patient’s own conjunctiva or from an amniotic membrane) to reduce the risk of recurrence and promote healing. It is typically done when the pterygium causes discomfort, affects vision, or is cosmetically undesirable.

Causes
There are several underlying causes of Pterygium
Prevention
To reduce your risk of developing Pterygium
Medical Procedures at Lions Eye Hospital

How Our Specialists Conduct Pterygium Surgery:-

The surgery is advised when cataracts impact your vision or hinder the treatment of other eye conditions.

01.

Excision and Conjunctival Autograft

The pterygium (a benign growth of tissue on the conjunctiva) is surgically removed, and a piece of healthy conjunctiva from the same eye is used to cover the area where the pterygium was excised, promoting healing and reducing the risk of recurrence.

02.

Excision with Amniotic Membrane Graft

After excising the pterygium, an amniotic membrane (a tissue from the placenta) is placed over the affected area to enhance healing and reduce inflammation, providing a smoother recovery.

03.

Bare Sclera Technique

In this approach, the pterygium is removed, and the bare sclera (the white part of the eye) is left exposed. This method carries a higher risk of recurrence, which is why it is used less frequently.

04.

Sutureless Excision with Conjunctival Flap

A flap of healthy conjunctiva is moved over the excised pterygium site without sutures, promoting healing while preventing recurrence. This technique is often used in high-risk cases.

05.

Autologous Limbal Stem Cell Transplantation

For more complex or recurrent cases of pterygium, stem cells from the limbus (the border of the cornea and conjunctiva) are transplanted to help restore the corneal surface and prevent recurrence.

06.

Topical Antimetabolite Application

After excision, topical chemotherapy agents like mitomycin C are applied to reduce the likelihood of recurrence by inhibiting abnormal tissue growth.

07.

Postoperative Care
  • After surgery, patients are typically prescribed anti-inflammatory medications, eye drops, and protective shields to reduce the risk of infection, manage pain, and promote proper healing.

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08.

Follow-up Visits

Regular follow-up visits are essential to monitor recovery, detect any signs of recurrence early, and adjust medications as needed to ensure optimal healing.

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