Pterygium & Pinguecula

Indication Overview:

 

 Primary Pterygium Before   Primary Pterygium After

    Written surgical guide by section: 
    Pterygium Overview
    Pterygium Key Pre-Operative Points
    Surgical Supplies for Pterygium Surgery
    Surgical Technique for Primary Pterygium
    Surgical Technique for Recurrent Pterygium
    Surgical Technique for Multi-Recurrent   Pterygium
    Pterygium Post-Operative Care
    Pterygium Literature Summary
    Pterygium Frequently Asked Questions (FAQ)

Sealing the Gap:

1. After pterygium excision, we have observed that a gap invariably remains between the conjunctiva and Tenon's capsule, allowing reinvasion (herniation) by the residual fibrovascular tissue and giving rise to recurrence.

   To find out more:

   Sealing the Gap in Pterygium Surgery - OSREF.pdf
   

   Gap Closure in Recurrent Pterygium Surgery - Powerpoint.pdf

Video: Sealing the Gap in Recurrent Pterygium

Video: Sealing the Gap in Primary Pterygium

Pinguecula Videos:

1. Pinguecula Surgery Video: Excision of pinguecula followed by application of Mitomycin C and amniotic membrane transplantation with fibrin glue

2. Pinguecula Post-Op Results: Pinguecula post operative results discussed OSREF Pinguecula Sample 1&2 Post Op 

Primary Pterygium Videos: 

1. Surgical Pearls: Click here to view surgical pearls for primary pterygium excision including MMC, amniotic membrane & fibrin glue

2. Primary Pterygium Minimal Dissection Technique:Video of Primary Pterygium Minimal Dissection Technique: Click here for video of minimal dissection technique for primary pterygium excision
   

3. Primary Pterygium Extensive Dissection Technique: Click here for a Video of Primary Pterygium Extensive Dissection Technique
   
   

4. Gluing Cryopreserved Amniotic Membrane after pterygium excision: Click here for video of gluing cryopreserved amniotic membrane during double-headed primary pterygium surgery.

5. Suturing Cryopreserved Amniotic Membrane after pterygium excision: Click here for video of suturing cryopreserved amniotic membrane during primary pterygium surgery.

6. Primary Pterygium technique using Mitomycin C, amniotic membrane and fibrin glue (Provided by Dr. Susan Senft): Click here to view Dr. Senft's video on primary pterygium.

7. Primary Pterygium technique by Dr. Matthew Niemeyer: Click here to view Dr. Niemeyer's video on primary pterygium.
   

Recurrent Pterygium Videos:

1. Fornix Reconstruction for Recurrent Pterygium: Click here for video of fornix reconstruction for recurrent pterygium

2. Double-Headed Recurrent Case: Click here for video of a recurrent double-headed pterygium case.

3. Recurrent Pterygium and Fornix Reconstruction technique using Mitomycin C, amniotic membrane, and fibrin glue (Provided by Dr. Susan Senft): Click here to view Dr. Senft's video on recurrent pterygium.

Multi-Recurrent Pterygium Videos:

1. Written Surgical Steps for Multi-Recurrent Pterygium: Click here for video of the surgical steps for multi-recurrent pterygium.

2. Video of Multi-Recurrent Pterygium with Motility Restriction: Click here for video of the correction of motility restriction for multi-recurrent pterygium

Videos edited by:

Scheffer C.G. Tseng, MD, PhD
Hosam Sheha, MD, PhD
Ahmad Kheirkhah, MD
Antonio Elizondo, MD
Victoria Casas, MD

If you have additional surgical questions after viewing this information, contact OSREF’s Research Director, Scheffer C.G. Tseng, MD, PhD, by e-mail at stseng@ocularsurface.com or by phone at 305-274-1299.

Note: This video is for peer discussion purposes and the creators are not participating in commercial promotion of any product.

Financial Interest Disclosure: Dr. Tseng and his family are more than 5% shareholders in TissueTech, Inc. and Bio-Tissue, Inc. which currently distributes AMNIOGRAFT® and PROKERA®

© 2009. Ocular Surface Research & Education Foundation. Content is protected under intellectual property laws and are licensed for non-commercial viewing only. Any distribution, copying transmission or alteration is prohibited. All rights reserved.