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Published on: June 27, 2025
A new technique for pterygium excision: air-assisted dissection
Gokhan Gulkilik1, Selim Kocabora, Muhittin Taskapili
1Eye Clinic, Vakif Gureba Education Hospital, Istanbul, Turkey. g.gulkilik@excite.com
Summary
A novel air-injection technique safely removes pterygium heads, creating a smooth corneal surface. This method simplifies pterygium excision and reduces the need for scraping, showing promising results.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Pterygium is a common ocular condition affecting the cornea.
- Traditional pterygium excision can involve scraping or polishing, potentially damaging the corneal surface.
Purpose of the Study:
- To introduce a novel air-injection technique for pterygium head removal.
- To assess the efficacy and safety of this technique in achieving a smooth and clear corneal surface.
Main Methods:
- The technique involves injecting air into the pterygium head to create a dissection plane.
- Blunt dissection and pterygium excision were performed, followed by conjunctival autografting.
- Evaluation included postoperative corneal smoothness, clarity, complications, and recurrence rates.
Main Results:
- Successful air dissection was achieved in 75% of cases, allowing for easy blunt dissection.
- Postoperative corneas were clear and smooth in successful cases.
- A low recurrence rate of 8.3% was observed, with no major complications.
Conclusions:
- The air-injection technique is a safe, easy, and cost-effective method for pterygium head removal.
- It facilitates the creation of a smooth and clear corneal surface post-excision.
- This technique offers an alternative to traditional scraping or polishing methods.

