Pterygium Surgery Before and After: Restore Your Clear Vision (Detailed Guide)

Pterygium Surgery Before and After

What is pterygium?

Pterygium is a fleshy, fibrovascular growth from conjunctiva involving the surface of the cornea. It is triangular in shape and contains blood vessels. It commonly involves the nasal side of the cornea.

Pterygium causes

What causes pterygium?

The exact pathology of pterygium is not known, however certain risk factors are mentioned as follows

  • Chronic exposure to UV light or sunlight
  • Constant dry eye or ocular surface disease

Pterygium symptoms

What are the symptoms of pterygium?

These includes

  • Foreign body sensation
  • Itching
  • Watering
  • Discharge
  • Decreased vision
  • Red outgrowth on the eye

Pterygium treatment

What is the treatment of pterygium?

Initially when the pterygium is small in size and not causing visual symptoms and evident cosmetic problems, the health care provides will give

  • Lubricating eye drops and ointments
  • Topical steroids to reduce inflammation
  • Topical antibiotics if associated infection is present.

Pterygium Surgery Before And After

Pterygium surgery types

The types of surgery include

  • Bare sclera technique
  • Sliding method
  • Autograft implantation

Pterygium surgery steps

The surgical procedure involves injection of local anesthetic in the pterygium. Dissection of pterygium is done and a squint hook is passed under the pterygium. Squint hook is rotated to remove the adherent pterygium with the cornea. The extra stump of conjunctiva is excised. The scrapping of corneal surface is done. The size of dissected conjunctiva is taken and autograft is taken from superior conjunctiva. The graft is sutured with 6/0 vicryl.

surgery procedure of pterygium

Pterygium surgery complications

The complications include

  • Scleral perforation
  • Corneal perforation
  • Inclusion cyst
  • Subconjunctival hemorrhage
  • Post operative recurrence
  • Foreign body sensation of exposed sutures
  • Pyogenic granuloma

Recovery from pterygium surgery

Recovery from surgery is quick. It is commonly performed as a day case. The eye can be patched for a day and the next day topical antibiotics and oral pain killers are advised by the health care provider.

pterygium surgery before and after

Pterygium surgery side effects

The side effects of pterygium include

  • Recurrence and reformation of pterygium
  • Corneal scaring
  • Scleral exposure

What to avoid after pterygium surgery?

One- or two-days bed rest is advised after the surgery. Timely application of eye drops and ointment is advised.

How long it takes to recover from a pterygium surgery?

The patient can start regular activities after a day or two.


Pterygium is a benign condition but if not controlled well on time, it can lead to blinding condition. People working in sunlight should take care of their eyes by taking precautions such as using sunglasses and lubricating eye drops.


Is pterygium surgery a major surgery?

No, it is a minor surgical procedure.

Is pterygium surgery painful?

The surgery is performed under topical or local anesthesia, that makes it painless. Mild to moderate pain can be observed after surgery.

Is it safe to remove pterygium?

Yes, it is safe to remove pterygium especially when it is affecting the visual axis.

Can pterygium grow back after surgery?

In bare sclera technique pterygium can regrow in 80% cases.

What does your eye look like after pterygium surgery?

The eye will look normal after the sutures are observed and inflammation subsided.

What should not be done after pterygium surgery?

*The medications should be used on regular intervals.
*Rubbing of the eyes should be avoided.

How successful is pterygium surgery?

It depends upon the surgical procedure. In bare sclera technique the success rate is poor. In autograft transplantation the success rate is high.

Dr Sadia Ayaz
Dr Sadia Ayaz

I am an ophthalmologist and eye surgeon

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