RT Journal Article
SR Electronic
T1 Preventing conjunctival autograft inversion in pterygium surgery
JF British Journal of Ophthalmology
JO Br J Ophthalmol
FD BMJ Publishing Group Ltd.
SP 83
OP 84
DO 10.1136/bjo.2006.102905
VO 91
IS 1
A1 E C Figueira
A1 M T Coroneo
A1 I C Francis
YR 2007
UL http://bjo.bmj.com/content/91/1/83.abstract
AB Background: Surgeon-dependent variables influencing pterygium surgical outcome using the conjunctival autograft technique include conjunctival retraction as a consequence of subepithelial contracting fibrous tissue, and autograft inversion causing necrosis and sloughing of the graft. Method: A simple and useful technique of pterygium excision is described, which helps to ensure the correct surface and linear orientations of the conjunctival autograft, and also defines the end point of adequate excision of the subepithelial connective tissue. Conclusion: This simple technique of defining the anterior surface and the centrifugal orientation with the letter “G” marked on the graft prevents reverse orientation of the graft.