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Recurrent Pterygium with Phaco + PCIOL

  Channels: General | Posted 11/26/2013

In this case, I demonstrate my preferred technique in a case of recurrent pterygium. The patient had two pterygia growing from both nasal and temporal sides with restriction of movement and diplopia on extreme gaze secondary to post-operative adhesions. I prefer to remove the head of the pterygium using a "Pterygiorhexis" maneuver followed by removal of the remaining pterygium. The muscle adhesions have been released, followed by phaco with IOL implantation and finally topical MMC is followed by an amniotic membrane graft. [No narration]


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