Prospective study of primary pterygium surgery using pterygium extended removal followed by extended conjunctival transplantation.

Abstract

To assess the rate of recurrence and complications after primary pterygium removal with the P.E.R.F.E.C.T. for PTERYGIUM (pterygium extended removal followed by extended conjunctival transplantation) technique. A case series study of the P.E.R.F.E.C.T. for PTERYGIUM technique was conducted by 1 surgeon with a 1-year follow-up to assess the recurrence and complication rate. Two hundred fifty consecutive primary pterygium removals. A major modification of conjunctival autograft surgery was used to treat primary pterygia. The recurrence rate and complications after excision of primary pterygia using the P.E.R.F.E.C.T. for PTERYGIUM technique. One patient had a vascularized delle listed as a recurrence from among 250 consecutive patients (0.4%). The mean study follow-up period was 462+/-172 days. No patient lost best-corrected vision. The P.E.R.F.E.C.T. for PTERYGIUM technique results in a near 0% recurrence rate with minimal complications and a good cosmetic appearance.