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Practice Patterns in the Management of Primary Pterygium: A Survey Study
Enrique O Graue-Hernandez1, Andrea Córdoba1, Aida Jimenez-Corona1,2
1Department of Cornea and Refractive Surgery, Institute of Ophthalmology "Conde de Valenciana"-Mexico City, Mexico.
Cornea specialists prefer pterygium surgery for visual axis proximity, pain, or restricted eye movement. Complete excision with conjunctival grafts and fibrin glue fixation are common, with corticosteroids used for recurrences.
Area of Science:
- Ophthalmology
- Cornea Research
- Surgical Practice
Background:
- Pterygium is a common ocular surface condition.
- Management strategies for primary pterygium vary among specialists.
Purpose of the Study:
- To survey cornea specialists on their current practices for primary pterygium management.
- To identify expert preferences in surgical indications, techniques, and adjuvant therapies.
Main Methods:
- A 25-item survey was distributed to Cornea Society members via the kera-net listserv.
- The survey covered surgical indications, techniques, adjuvant therapy, postoperative care, and recurrence treatment.
Main Results:
- 199 cornea specialists responded.
- Surgery is indicated for visual axis proximity, pain, restricted eye movement, or induced astigmatism (>90%).
- Complete excision with conjunctival graft and fibrin glue fixation are preferred techniques.
Conclusions:
- This survey highlights cornea expert consensus on primary pterygium management.
- Findings can guide clinical practice for pterygium treatment.
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