PTERYGIUM

General Principles:

  • Conjunctival autograft > Amniotic membrane > Bare sclera

  • Fibrin glue > Nylon suture > Vicryl suture

Surgery Pearls:

  • I believe pterygium is primarily a Tenon's disease, so I prefer to resect inflamed Tenon's and leave healthy conjunctiva

  • If there is enough mobile conjunctiva, you can use sutures to shrink the defect before measuring

  • Hydrodissection is usually much easier and efficient than manual dissection

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