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Pterygium excision

What is Pteryguim surgery

Pterygium surgery is a medical procedure performed to remove a pterygium, which is an abnormal growth of tissue on the conjunctiva of the eye. The surgery involves carefully excising the growth and repairing the affected area. It aims to alleviate symptoms such as redness, irritation, and vision disturbances caused by the pterygium. The procedure typically offers long-lasting relief and restores the appearance and functionality of the affected eye.

I do 2 technique  Pterygium excision

1. Pterygium excision with Autograft

2. Pterygium excision with Amniotic membranes graft 

Addition technique that i use for prevent recurrent after surgery

1. MMC application

2. Fribrin Glue application

3. 5-FU injection after surgery

Patient selection

  • Visual impairment

  • Hight Astigmatism

  • Recurrent inflammation .

  • Low self confidence.

​​Preoperative instruction

  • Practice lying down with a cloth covering your face for 30 minutes before bedtime.

  • Practice eye movements: left-right, up-down, and hold.

  • The surgery will involve the use of local anesthesia and injections under the conjunctiva, without the need for inhaling anesthesia.

  • The excision procedure usually takes 15-40 minutes, depending on the type of surgery.

  • Stop taking anti blood-clotted medications 7 days before the surgery.

  • Avoid washing your face and getting your hair wet on the morning of the surgery.

  • Wear comfortable clothing and button-up shirts.

  • Consume easily digestible food before the surgery.

  • Clean the eyelids with ocusoft products before the surgery and use artificial tears before the surgery.

Step for Procedure

Step 1 : Anesthesia and antibiotic eye drop every 5 minute before surgery

Step 2 : Surgery depend on each technique

Step 3 : Pressure patch on surgery eye

Postoperative instruction

  • Keep your eyes closed tightly for 2 days. Open your eyes at home by yourself

  • If you wear contact lenses, the doctor will schedule an appointment to remove them 2 days after the surgery.

  • You can start using eye drops after opening your eyes, except if you wear contact lenses, in which case you can use them immediately.

  • It is normal to experience significant eye pain in the first 2 days. Take the prescribed pain medication as directed by the doctor.

  • In the case of grafting and suturing, a follow-up appointment will be scheduled for removal 10-14 days after the surgery.

  • Avoid getting water in your eyes for 1 week or until instructed otherwise.

  • Do not wear contact lenses until instructed otherwise.

  • Redness and mild irritation may gradually subside after the surgery, especially if sutures are present.

  • Wear UV-coated glasses to prevent recurrence.

  • Clean the eyelids daily and use preservative-free artificial tears regularly.

  • Resume normal daily activities and use your eyes as usual.

  • Keep all scheduled appointments during the first 6 months, as the doctor will consider administering medication to prevent recurrence.

These recommendations are based on my experience and standard care. And  are intended for patients undergoing surgery with me. They may differ from other surgeon in some details.

Surgical Time 15-30 min.
 Remove stitch 7-14  days
 Full recovery  1  mo.

Review case Pterygium Excision

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