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Sliding flap of conjunctival limbus to prevent recurrence of pterygium
1Palm Springs Hospital, Hialeah, Fla.
Abstract
Background:
Several techniques have been advocated for the excision of a pterygium: bare sclera, conjunctival flaps, free conjunctival graft, and labial mucous membrane graft.
Methods:
Twenty eyes were treated with a sliding flap of limbal conjunctiva into the scleral bed of the excised pterygium, using 7-0 and 8-0 Vicryl sutures. Corticosteroids and tear substitutes were administered postoperatively.
Results:
There was one recurrence in the 20 eyes performed with 1 year follow up.
Conclusions:
Recurrence was limited to that of 5% (1 case out of 20). Postoperative inflammatory reaction was minimal.