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Modified protocol for pterygium surgery without blades and electrocoagulation.

Huimin Ge1, Guofan Cao1, Jian Wang2

  • 1Affiliated Eye Hospital of Nanjing Medical University, Nanjing, China.

Frontiers in Medicine
|March 10, 2025
PubMed
Summary

This study shows a blade- and cautery-free pterygium removal technique is safe and effective. The novel surgical protocol resulted in a low recurrence rate and quick pain relief for patients.

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Area of Science:

  • Ophthalmology
  • Surgical Innovation
  • Ophthalmic Surgery

Background:

  • Pterygium is a common eye condition requiring surgical intervention.
  • Traditional pterygium removal methods can involve blades and cautery, potentially leading to complications.
  • There is a need for safer and more efficient surgical techniques.

Purpose of the Study:

  • To evaluate the efficacy and safety of a novel blade- and cautery-free surgical protocol for pterygium removal.
  • To assess the short-term and long-term outcomes of this innovative surgical approach.

Main Methods:

  • A pterygium removal surgery was performed on 69 eyes using blunt dissection with Vannas scissors and transpositional flapping with suture closure.
  • The protocol strictly avoided the use of blades and cautery.
Keywords:
blunt separationelectrocoagulationpterygiumrecurrencesurgical removal

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  • Patients were followed up for a minimum of 6 months.

    • Main Results:

    • The average operative time was 18.7 minutes, shorter than reported for other techniques.
    • Post-operative pain was minimal and resolved within 24 hours without analgesics.
    • A low recurrence rate of 4.3% (3 out of 69 eyes) was observed during an average follow-up of 11.3 months.

    Conclusions:

    • The blade- and cautery-free surgical protocol is a simple, efficient, and reliable method for pterygium removal.
    • This technique demonstrates promising efficacy and safety with a low recurrence rate.
    • The findings support the adoption of this innovative approach in ophthalmic practice.