Purpose
To compare recurrence rate, cosmetic outcomes, and complications after primary pterygium excision with the P.E.R.F.E.C.T. for Pterygium® technique versus a conventional excision method with amniotic membrane graft.
Methods
A retrospective chart review of 62 patients who had conventional surgery and 140 patients who underwent the P.E.R.F.E.C.T. technique for primary pterygium excision between 2007-2013 by the same surgeon (L.R.). Results are reported for all patients having a minimum of 4 months follow up.
Results
Of 62 patients who had conventional surgery, 40 showed up for at least 4 months of follow up. The recurrence rate was 25%, and cosmesis was highly variable as will be demonstrated photographically. Of 140 patients who underwent the P.E.R.F.E.C.T. procedure, 89 patients with primary pterygium returned for 4 months or more of follow up. None of these patients developed a recurrence, and all showed markedly improved cosmesis.
Conclusions
P.E.R.F.E.C.T. for Pterygium® technique resulted in improved surgical outcomes when considering recurrence rates and cosmetic results over traditional surgery.
Keywords: 474 conjunctiva •
665 pterygium