Merest sclera technique for primary pterygium surgery.
Over a 5-year period, 800 patients with primary pterygium underwent "merest sclera" surgery, a procedure in which the injured limbo-conjunctival area is covered completely with superior and inferior conjunctival flaps so that the tear film can be reestablished. After a 1-year follow-up, 17 recurrences were found (2.1%). All these resulted from premature wound dehiscence and/or postoperative infection.
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St. Croix Vision Center, US Virgin Islands 00823.
D003228:Conjunctiva / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011625:Pterygium / Q000601:surgery*; D012008:Recurrence; D013524:Surgical Flaps / Q000009:adverse effects / Q000379:methods; D013666:Tears / Q000378:metabolism