Surgical Technique for Multi-Recurrent Pterygium:

Multi-Recurrent Pterygium Before Multi-Recurrent Pterygium After
For multi-recurrent pterygium with Motility Restriction, use same surgical technique as described for recurrent pterygium with the modification that after MMC application, the space between the recessed conjunctiva and the Tenon is sealed by fibrin glue and then secured by an anchoring suture (double armed 4-0 black silk) toward the palpebral lid skin with a bolster.
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