Pterygium excision and conjunctival mini-autograft: preliminary report

Purpose Pterygium excision is often followed by recurrence that may be more severe than the initial lesion. This study evaluated the efficacy of conju nctival mini-autograft following surgical excision of pterygium. Methods Eight patients underwent pterygium excision with a conjunctival min i-autograft. All patients had decreased visual acuity secondary to involvem ent of the central cornea by the pterygium. Following the excision, dissect ion of a conjunctival mini-autograft was performed. The mini-autograft was then transposed to the area of excision and secured in place with interrupt ed Vicryl and a few nylon sutures. Follow-up periods ranged from 5 to 9 yea rs. Results All eyes healed with no postoperative complications and no recurren ces of the pterygium in any patient up to a maximum follow-up period of 9 y ears 10 months. Conclusion Conjunctival mini-autograft with excision of the pterygium is an effective procedure for the surgical management of pterygium.