Clinical Report: A Dual Approach for Pterygium Removal

Background

Pterygium is a prevalent ocular surface disorder characterized by abnormal conjunctival tissue growth onto the cornea, often exacerbated by UV exposure. Surgical excision is the definitive treatment, but recurrence remains a significant concern, necessitating effective surgical techniques.

Data Highlights

No numerical data provided in the source material.

Key Findings

• The pooled global prevalence of pterygia is approximately 10%, with higher rates in equatorial regions.
• Recurrence rates after pterygium excision can be as high as 18%, with demographic factors influencing risk.
• The bare sclera method has high recurrence rates, with some studies reporting up to 89%.
• The combined CAG and AMG technique has demonstrated recurrence rates of around 1% and excellent cosmetic outcomes in nearly 90% of patients.
• Patients with glaucoma or double pterygium may require alternative surgical strategies due to potential complications.

Clinical Implications

Surgeons should consider patient-specific factors, such as glaucoma or double pterygium, when planning surgical interventions.

Conclusion

Further research may help refine these techniques and identify optimal patient profiles for each surgical strategy.

Related Resources & Content

1. Ophthalmology Management, Tackling Pterygium, 2021 -- Risk factors for development and recurrence
2. Ophthalmology Management, Effective Treatment of Pterygium, 2025 -- Surgical outcomes and management
3. Pterygium - College of Optometrists, 2026 -- Clinical management guidelines
4. Pterygium - EyeWiki, 2026 -- Surgical consensus and management strategies
5. Ophthalmology Management — Effective Treatment of Pterygium
6. Corneal Physician — The Utility of Pre-Descemet’s Endothelial Keratoplasty
7. Pterygium - College of Optometrists
8. Pterygium - EyeWiki
9. Conjunctival Autograft Fixation in Primary Pterygium Surgery: A Network Meta-Analysis of Randomized Trials - PubMed