Send to

Choose Destination
Oman J Ophthalmol. 2019 Oct 11;12(3):166-170. doi: 10.4103/ojo.OJO_69_2017. eCollection 2019 Sep-Dec.

Long-term analysis of an unconventional way of doing double-head pterygium excision.

Author information

Cornea and Refractive Services, The Eye Foundation, Post Graduate Institute of Ophthalmology, Coimbatore, Tamil Nadu, India.
Cornea and Refractive Services, The Eye Foundation, Coimbatore, Tamil Nadu, India.
The Eye Foundation, Coimbatore, Tamil Nadu, India.



The aim of the study is to describe an unconventional technique of vertically split conjunctival autograft (CAG) for primary double-head pterygium and its long-term outcome.


This was a retrospective, noncomparative, interventional case series of 95 eyes of 95 patients, who underwent vertical, split CAG surgery without maintaining limbus-limbus orientation for primary double-head pterygium from January 2013 to January 2017. All patients were reviewed for recurrence in their follow-up period.


The mean follow-up was 14.12 ± 9.42 months. The baseline characteristics included 44 males and 51 females, with a mean age of 56.24 ± 10.03 years. The only significant complication was recurrence rate of 2.10% (2 eyes out of 95). The most common secondary outcome was graft edema (36.84%, 35 eyes out of 95), which resolved without any intervention. The other outcomes such as graft retraction (12.63%), Tenon's granuloma (1.05%), and subconjunctival hemorrhage (34.73%) were also recorded.


Unconventional vertical split CAG without maintaining limbus-limbus orientation has convincing results in treating double-head pterygium with lower recurrence rate.


Double-head pterygium; fibrin glue; pterygium recurrence; without limbus–limbus

Supplemental Content

Full text links

Icon for Medknow Publications and Media Pvt Ltd Icon for PubMed Central
Loading ...
Support Center