Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Ophthalmology

Surgical management is the ultimate solution for progressive pterygia. However, minimizing the risk of recurrence remains the main challenge. Multiple procedures have been advocated in the treatment of pterygium.They range from basic excision to sliding flaps or rotation of the conjunctiva, with or without adjunctive external beta radiation, excimer laser or topical chemotherapeutic agents such as mitomycin C (Amano et al., 2000; Dadeya et al., 2002).Fixation of the graft is most commonly done by suturing or with tissue adhesives.However, there are many drawbacks to suturing such as prolonged operating time, postoperative discomfort, suture abscesses, buttonholes, and granuloma formation.The major concern of the commercial fibrin glue is the cost and the potential risk of transmitted infection (Singh et al., 2013).Excision with conjunctival autografting is associated with lower recurrence rates compared with other techniques

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