Surgical techniques and adjuvants for the management of primary and recurrent pterygia

John A Hovanesian; Christopher E Starr; David T Vroman; Francis S Mah; Jose A P Gomes; Marjan Farid; Neda Shamie; Richard S Davidson; Thomas John; Edward J Holland; Terry Kim; ASCRS Cornea Clinical Committee

doi:10.1016/j.jcrs.2017.03.002

Surgical techniques and adjuvants for the management of primary and recurrent pterygia

J Cataract Refract Surg. 2017 Mar;43(3):405-419. doi: 10.1016/j.jcrs.2017.03.002.

Affiliations

¹ From the University of California-Los Angeles, Jules Stein Eye Institute (Hovanesian), Laguana Hills, California; Weill Cornell Medicine, New York-Presbyterian Hospital (Starr), New York, New York; Carolina Cataract and Laser Center (Vroman), Ladson, South Carolina; Division of Ophthalmology, Department of Surgery, Scripps Clinic Medical Group (Mah), La Jolla, California; Herbert Eye Institute, University of California-Irvine (Farid), Irvine, California; Advanced Vision Care (Shamie), Los Angeles, California,; University of Colorado Eye Center, University of Colorado School of Medicine (Davidson), Aurora, Colorado; Department of Ophthalmology, Loyola University at Chicago (John), Maywood, Illinois; Cincinnati Eye Institute, University of Cincinnati (Holland), Cincinnati, Ohio; Duke University School of Medicine, Duke University Eye Center (Kim), Durham, North Carolina, USA; Department of Ophthalmology and Visual Sciences, Paulista Medical School/Federal University of São Paulo (Gomes), São Paulo, Brazil. Electronic address: jhovanesian@harvardeye.com.
² From the University of California-Los Angeles, Jules Stein Eye Institute (Hovanesian), Laguana Hills, California; Weill Cornell Medicine, New York-Presbyterian Hospital (Starr), New York, New York; Carolina Cataract and Laser Center (Vroman), Ladson, South Carolina; Division of Ophthalmology, Department of Surgery, Scripps Clinic Medical Group (Mah), La Jolla, California; Herbert Eye Institute, University of California-Irvine (Farid), Irvine, California; Advanced Vision Care (Shamie), Los Angeles, California,; University of Colorado Eye Center, University of Colorado School of Medicine (Davidson), Aurora, Colorado; Department of Ophthalmology, Loyola University at Chicago (John), Maywood, Illinois; Cincinnati Eye Institute, University of Cincinnati (Holland), Cincinnati, Ohio; Duke University School of Medicine, Duke University Eye Center (Kim), Durham, North Carolina, USA; Department of Ophthalmology and Visual Sciences, Paulista Medical School/Federal University of São Paulo (Gomes), São Paulo, Brazil.

PMID: 28410726
DOI: 10.1016/j.jcrs.2017.03.002

Abstract

The removal and rate of recurrence of pterygium have been discussed for years. The disorder is highly associated with environmental factors, and recurrence rates can be unacceptably high and cannot be successfully predicted. New techniques and graft preparations and postoperative management strategies are helping to reduce the recurrence rates and provide an ocular surface that is near ideal for future cataract or refractive surgery. This review discusses the advantages and disadvantages of various treatment strategies.

Publication types

Review

MeSH terms

Conjunctiva / abnormalities*
Conjunctiva / surgery
Humans
Postoperative Complications
Pterygium* / surgery
Recurrence
Refractive Errors*

Supplementary concepts

Pterygium Of Conjunctiva And Cornea