Pterygium Post-Operative Care:

Begin topical Prednisolone every 2 waking hours and Ocuflox three times a day for 4 weeks and see the patient at that time (mandatory). If the surrounding conjunctiva is not inflamed (Fig. 8), stop Ocuflox and taper off PF at a weekly schedule from four times a day. If however the surrounding conjunctiva is inflamed (Fig. 9 or 10), give subconjunctival injection of 0.1 cc Kenalog (40 mg/ml) per site in the office at to abort any progression into recurrence and watch for IOP elevation. At time points later than one month, if early recurrence is suspected, you may like to consider subconjunctival injection of 5-FU (5 mg/0.1cc) twice, 2 weeks apart, or holding a sponge soaked with MMC 0.02% at the area of concern for 5 minutes before rinse. 

   Figure 8                                  Figure 9                                  Figure 10