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September 1971

Corneoscleral Lamellar Transplant for Recurrent Pterygium

Author Affiliations

Portland, Ore
Read before the 30th postgraduate convention, Oregon Academy of Ophthalmology and Otolaryngology, March 20, 1971.

Arch Ophthalmol. 1971;86(3):296-297. doi:10.1001/archopht.1971.01000010298011

The recurrent pterygium and repeated surgical operations destroy the normal Bowman's membrane which acts as a barrier to the ingrowth of conjunctival tissues. The insertion of a lamellar corneoscleral graft in the area of involvement seems to be a logical approach. Measurements are made on both the recipient and donor eye using the limbus as a point of reference. The dissections are made by hand. The 10-0 monofilament suture can be left indefinitely with little discomfort. The interrupted sutures are absorbed after the sclera has become adequately fixed by fibrous tissue.

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