Evaluating the Efficacy and Safety of Different Pterygium Surgeries: A Review of the Literature

Marcin Palewski, Agnieszka Budnik and Joanna Konopińska ()
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Marcin Palewski: Department of Ophthalmology, Medical University of Białystok, 15-089 Bialystok, Poland
Agnieszka Budnik: Department of Ophthalmology, Medical University of Białystok, 15-089 Bialystok, Poland
Joanna Konopińska: Department of Ophthalmology, Medical University of Białystok, 15-089 Bialystok, Poland

IJERPH, 2022, vol. 19, issue 18, 1-14

Abstract: The search for the “gold standard” in the surgical treatment of pterygium has been ongoing for over two decades. Despite the development of various surgical techniques, recurrence rates range from 6.7% to 88% depending on the method used. This review discusses the latest and most commonly used methods for the surgical removal of pterygium, primarily focusing on efficacy and safety. Moreover, this review includes articles that either evaluated or compared surgical methods and clinical trials for primary and recurrent pterygium. Limited data are available on combined methods as well as on the efficacy of adjuvant treatment. The use of adjuvant intraoperative mitomycin C (MMC) and conjunctival autografting (CAU) are the two most highly recommended options, as they have the lowest rates of postoperative recurrence.

Keywords: pterygium surgery; pterygium; conjunctival autograft; amniotic membrane transplantation; limbal-conjunctival autograft (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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