Ophthalmologists have recognized for many centuries that the only treatment for true pterygium is surgical intervention. Many and various operations have been devised for the removal of the pterygium, either some form of excision or transplantation in the lower cul-de-sac being used. These operations are well known to all ophthalmologists.
Transplantation of the entire pterygium beneath the upper bulbar conjunctiva has never been described. It has much merit and possesses advantages over all other operative methods.
After the usual surgical preparation of the conjunctival sac is carried out and local anesthesia is obtained, the lids are held apart with an eye speculum. The following steps are then performed :The neck of the pterygium, including the margins, is grasped with a strong, narrow tissue forceps. While gentle traction is exerted upward with the forceps, a sharp von Graefe knife is used to dissect carefully and accurately the head and
NEHER EM. A NEW METHOD FOR TRANSPLANTING PTERYGIUM. Arch Ophthalmol. 1939;21(1):30–34. doi:10.1001/archopht.1939.00860010044003
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