The cut-and-paste method for primary pterygium surgery: long-term follow-up

Acta Ophthalmol Scand. 2005 Jun;83(3):298-301. doi: 10.1111/j.1600-0420.2005.00465.x.


Objective: To evaluate the recurrence rate, reoperation rate and side-effects of a novel technique for pterygium surgery.

Design: Retrospective study.

Participants: The study included 461 eyes of 381 patients operated for primary nasal pterygium by the same surgeon between 1994 and 2003 and followed for 23 +/- 20 months (range 6-112 months).

Methods: Autologous conjunctival grafts harvested at the superotemporal limbus were used to cover the sclera after pterygium excision. Using a retrospective chart review, the outcome after attaching the transplant to the sclera with a fibrin tissue adhesive (n = 325) was compared to the outcome after graft attachment using absorbable sutures (n = 136).

Main outcome measures: Recurrence rate, reoperation rate and complications.

Results: The recurrence rate was 5.3% in the glue group and 13.5% in the suture group (p = 0.01). The reoperation rates were 1.2% and 3.3%, respectively (p = 0.31). Complications, such as transient transplant oedema and persistent corneal epithelial defects, occurred equally in both groups.

Conclusion: Using a fibrin tissue adhesive instead of sutures when attaching the conjunctival transplant in primary pterygium surgery results in a significantly lower recurrence rate.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Conjunctiva / transplantation*
  • Female
  • Fibrin Tissue Adhesive*
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Ophthalmologic Surgical Procedures*
  • Postoperative Complications
  • Pterygium / surgery*
  • Recurrence
  • Reoperation
  • Retrospective Studies
  • Sclera / surgery
  • Suture Techniques*
  • Transplantation, Autologous


  • Fibrin Tissue Adhesive