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Related Experiment Video

Updated: Oct 4, 2025

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Recurrent Pterygium: A Review.

Leila Ghiasian1, Bijan Samavat1,2, Yasaman Hadi1

  • 1Eye Research Center, The Five Senses Institute, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

Journal of Current Ophthalmology
|February 7, 2022
PubMed
Summary
This summary is machine-generated.

Recurrent pterygium is influenced by factors like dry eye and age. Mitomycin C (MMC) adjunct to surgery and conjunctival autograft (CAU) are recommended for managing pterygium recurrence.

Keywords:
Adjuvant therapyAmniotic membrane graft/transplantConjunctival autograftConjunctival diseasePterygiumPterygium managementPterygium recurrenceRecurrent pterygiumRisk factor

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Area of Science:

  • Ophthalmology
  • Conjunctival Diseases
  • Surgical Outcomes

Background:

  • Pterygium recurrence poses a significant challenge in ophthalmic surgery.
  • Understanding risk factors and effective management strategies is crucial for improving patient outcomes.

Purpose of the Study:

  • To review and summarize current evidence on pterygium recurrence.
  • To identify risk factors, timing, and treatment options for recurrent pterygium.

Main Methods:

  • Systematic literature search of PubMed, Scopus, and Google Scholar (2009-2021).
  • Keywords included pterygium, recurrence, management, conjunctival autograft (CAU), and adjuvant therapies.
  • Review focused on risk factors, recurrence timing, and medical/surgical treatments.

Main Results:

  • Definite risk factors for recurrence include dry eye, black race, and young age.
  • Surgical factors like graft size and technique can influence recurrence; fibrin glue may reduce rates.
  • Mitomycin C (MMC) is recommended adjunctively; conjunctival autograft (CAU) is superior to amniotic membrane transplantation for recurrent pterygia.

Conclusions:

  • No single treatment is universally effective for recurrent pterygium.
  • Conjunctival autograft (CAU) remains the most effective surgical option.
  • Further research into novel surgical therapies is warranted.