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Long-Term Clinical Outcomes After Femtosecond Laser-Assisted Pterygium Excision.

Kenric Rui-Pin Fan1,2, Yu-Chi Liu1,2,3, Matthias Fuest2

  • 1Singapore National Eye Centre, Singapore.

Cornea
|April 9, 2025
PubMed
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Femtosecond laser-assisted pterygium excision surgery (FLAPS) with conjunctival autograft shows very low recurrence (0.72%) and complication rates. This advanced surgical technique offers a high probability of remaining recurrence-free for up to 5 years.

Area of Science:

  • Ophthalmology
  • Surgical Innovation

Background:

  • Pterygium, a common eye condition, can cause discomfort and vision impairment.
  • Traditional pterygium excision methods have varying recurrence and complication rates.

Purpose of the Study:

  • To evaluate the long-term recurrence and complication rates of femtosecond laser-assisted pterygium excision surgery (FLAPS) with conjunctival autograft.
  • To assess the safety and efficacy of FLAPS for primary pterygium treatment.

Main Methods:

  • A single-center retrospective study included 277 patients undergoing FLAPS for primary pterygium.
  • Follow-up extended up to 5 years, recording pterygium recurrence and intra/postoperative complications.
  • Femtosecond laser (Femto LDV Z8) was used for conjunctival autograft preparation.
Keywords:
corneafemtosecond laserpterygium

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Main Results:

  • A low recurrence rate of 0.72% (2/277 patients) was observed within 5 years.
  • Postoperative dry eyes occurred in 1.8% of patients; no intraoperative complications were reported.
  • No significant association was found between pterygium grade/side and recurrence.

Conclusions:

  • Femtosecond laser-assisted pterygium excision with conjunctival autograft is a safe and effective procedure.
  • FLAPS demonstrates low recurrence and complication rates, offering a high probability of long-term success.