Surgical Management of Double-Head Pterygium Using a Modified Split-Conjunctival Autograft Technique

Abstract

Aim: To describe a modified split–conjuctival autograft technique for double–head pterygium and evaluate the postoperative outcomes. Methods: A retrospective analysis of all patients who underwent split-conjunctival autograft surgery for double–head pterygium from November 2012 to March 2014. Conjunctival autograft was split vertically, in order to obtain limbal sides of cojunctival autograft for both sides. No adjunctive agent was used. Records of included patients were reviewed and outcomes and recurrence rates were noted. Results: Eight cases of double–head pterygia were noted in 158 total cases of pterygia evaluated (5%). The baseline characteristics included 2 female and 6 male with an age between 26 and 71 (average 42.63) years. All eyes had 12–month follow–ups in average (6–21 months). No intraoperative or postoperative complications were noted. No recurrence was observed. Conclusion: A modified, vertical–split conjunctival autograft without any adjunctive agents is a successful and safe technique in management of double–head pterygium.