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Updated: Mar 24, 2026

Iris Fixation via External Pentagram Suturing
Published on: May 5, 2022
Minimally Invasive Pterygium Surgery: Sutureless Excision with Amniotic Membrane and Hydrogel Sealant
Sailaja Bondalapati1, Balamurali Ambati2
1Medical student Research Fellow, University of Utah, Salt Lake City, Utah, USA.
Purpose:
To describe a novel technique for sutureless pterygium surgery using ReSure(®) tissue sealant.
Methods:
In this retrospective observational case series, we describe a modified procedure for pterygium excision followed by amniotic membrane transplant (AMT) adhered to the corneal and conjunctival defects using ReSure tissue sealant.
Results:
Nine eyes of seven patients (age range: 28-80 years, 4 females and 3 males) underwent pterygium removal with AMT followed by adherence of tissue to the conjunctival edges with ReSure. No issues with transplant dislocation or failure and no intra- or postoperative complications were noted. No recurrences were noted during the follow-up period.
Conclusion:
ReSure may be considered as a potential sealant to adhere AMT to defective corneal and conjunctival tissues in sutureless pterygium surgery.

