Prospective study of primary pterygium surgery using pterygium extended removal followed by extended conjunctival transplantation

Objective: To assess the rate of recurrence and complications after primary pterygium removal with the P.E.R.F.E.C.T. for PTERYGIUM (pterygium extended removal followed by extended conjunctival transplantation) technique. Design: A case series study of the P.E.R.F.E.C.T. for PTERYGIUM technique was conducted by 1 surgeon with a 1-year follow-up to assess the recurrence and complication rate. Participants: Two hundred fifty consecutive primary pterygium removals. Intervention: A major modification of conjunctival autograft surgery was used to treat primary pterygia. Main Outcome Measures: The recurrence rate and complications after excision of primary pterygia using the P.E.R.F.E.C.T. for PTERYGIUM technique. Results: One patient had a vascularized delle listed as a recurrence from among 250 consecutive patients (0.4%). The mean study follow-up period was 462 +/- 172 days. No patient lost best-corrected vision. Conclusions: The P.E.R.F.E.C.T. for PTERYGIUM technique results in a near 0% recurrence rate with minimal complications and a good cosmetic appearance.