Pterygium removal, conj. autograft with Fibrin glue and Mitomycin C by Steven G. Safran MD

This is a 40 year old man with a pterygium causing significant astigmatism, visual and cosmetic problems we performed pterygium removal, conjunctival autograft using Fibrin glue to secure the graft and Mitomycin C application. The procedure is done under topical anesthesia (Lidocaine gel) and throughout the procedure the patient is able to assist me by moving his eye in the direction required.

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[saved42]

Jesus he's awake?!?! That's insane

[sgsafran]

@saved42

The procedure is painless. In Ophthalmology we do almost all of our surgery with the patient awake and much of it is done with topical anesthesia only as was done here.

[saved42]

@sgsafran That is amazing. What does it feel like?

[sgsafran]

@saved42

The patient can see the light from the microscope but feels nothing.

[brigie7777777]

i have a pterygium and im really scared to get it removed!!! :/

[sgsafran]

@brigie7777777

There are appropriate indications to remove a pterygium. If it is causing irritation, affecting vision or is a serious cosmetic issue it is reasonable to remove it. With proper technique it is very safe and effective to do surgery.

[saved42]

@sgsafran wow. thats amazing.

[tornandbruised]

I'll ask my boss on Monday, but I'm curious; what are the mini sponges for? Also, how can you tell where the pterygium ends and the conjuctiva begins? And honestly, I don't know how anyone can sit through a procedure like this. I'd be just terrified the freezing would wear off, or I would accidentally move my eye in the middle of it!

[dhjhi]

I had mine removed just the other day. It took a total of 15 minutes. I was in the prep area for 30 minutes because the anesthesiologist arrived late. Over all it was a pretty good operation. I have to take off from work for a week though.

[hmongjedi]

@seifali1000 had it done 2 months ago.........i woke up in the middle of being cut......they had to put me out again...

[seifali1000]

@hmongjedi why u r scared,it is very simple ,take little time but needain killer in day 1 after operation,good luck

[SteeleHansen]

I give so much credit to these surgeons ! I could never do something like this. I had mine remove 5 days ago. Fingers crossed it doesn't grow back...