Deep pterygium excision can pose surgical challenge

Pterygium surgery can be challenging due to the extent of corneal involvement. In addition, postoperative recurrences can often be more difficult to manage than primary pterygium. Hence, there is a large menu of surgical techniques to choose from to optimize outcomes.In this column, I describe a case of pterygium with deep corneal stromal involvement that requires gentle dissection especially in the areas of significant corneal stromal thinning in order to prevent intraoperative iatrogenic corneal perforation. To augment the area of recipient corneal bed thickness, an anterior lamellar keratoplasty is added (Read more...)

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