DURING the past three years an increasing number of recurring pterygiums have been observed in the Army following the classic McReynolds transplantation.1 These failures have also been noted in civilian life. It is the purpose of this paper to offer an explanation for these recurrences and to present a new modification of the McReynolds procedure for their prevention. This method has been employed in 300 cases, with satisfying results.
A brief review of the anatomic framework of the ocular structures involved in the operation for pterygium will prove helpful in the discussion pertaining to the factors which are probably responsible for recurrences.
The subconjunctiva is divided into the superficial and the deep fibrous layer. The superficial layer consists of adenoid tissue, which is loosely arranged. The deep fibrous layer is the one more properly considered the subconjunctival connective tissue layer, rather than a constituent of the conjunctiva itself. It
GOLDSMITH J. NEW MODIFICATION OF THE McREYNOLDS TRANSPLANTATION FOR PTERYGIUM. Arch Ophthalmol. 1947;37(2):194-198. doi:10.1001/archopht.1947.00890220203011