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Surgical Correction for Pediatric Epiblepharon and Trichiasis

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Double-Headed Pterygia Treated With P.E.R.F.E.C.T for PTERYGIUM.

Lawrence W Hirst¹, Katherine Smallcombe

¹*The Australian Pterygium Centre, Brisbane, Australia; †Queensland Eye Institute, Brisbane, Australia; and ‡Department of Surgery, University of Queensland, Brisbane, Australia.

|October 18, 2016

Summary

The P.E.R.F.E.C.T for PTERYGIUM technique shows zero recurrence and excellent cosmetic outcomes for double-headed pterygium removal. This study evaluated its effectiveness, finding no regrowth and superior aesthetic results in patients.

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Area of Science:

Ophthalmology
Surgical Techniques
Corneal Surgery

Background:

Double-headed pterygia present unique surgical challenges with higher recurrence rates compared to single pterygia.
Limited studies document the efficacy and cosmetic outcomes of double-headed pterygium excision techniques.
The P.E.R.F.E.C.T for PTERYGIUM technique is known for low recurrence in single pterygia.

Purpose of the Study:

To evaluate the recurrence rate and cosmetic results of the P.E.R.F.E.C.T for PTERYGIUM technique in treating double-headed pterygia.
To assess the safety and efficacy of this surgical approach for complex pterygium cases.
To compare outcomes with existing literature on double-headed pterygium removal.

Main Methods:

A prospective interventional study involving 20 eyes with double-headed pterygia.
Patients underwent pterygium removal using the P.E.R.F.E.C.T for PTERYGIUM technique.
Follow-up included examination for recurrence and assessment of cosmetic appearance for at least 1 year.

Main Results:

No pterygium recurrences were observed in any of the 20 eyes.
Excellent or normal cosmetic appearance was achieved in all 20 eyes.
The conjunctival donor site exhibited normal appearance in 19 out of 20 eyes.

Conclusions:

The P.E.R.F.E.C.T for PTERYGIUM technique is highly effective for double-headed pterygia, yielding no recurrences.
This method provides superior cosmetic results and maintains normal conjunctival appearance post-surgery.
The technique is a safe and reliable option for managing complex pterygium cases.