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This is the abnormal
growth of the conjunctiva that
invades the cornea.
It is a geography-dependent disease
notably related to solar radiation,
very frequent in the equatorial
zone.
It may be prevented by using sunglasses,
but once established, the only
definitive treatment is surgical
resection.
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It is disturbing to know that, after so
much time, in the wake of the enormous
scientific and technical developments
achieved in the last few years and
the innumerable surgical techniques
developed, the pterygium persists
as an objective problem in ophthalmological
practice.
This is an ailment whose treatment
is patently surgical.
All therapeutic attempts assayed have
failed because it is hard to totally
and exclusively destroy the mass of
subconjuntival connective tissue that
makes up the real body of the pterygium.
Frequency of recidivism is between
20 and 40 % with conventional techniques.
Repeated surgical procedures practised
on the cornea that attempt to eliminate
this conjunctive membranous fold frequently
produce loss of tissue and retractile
scars, causing greater damage.
Free graft conjunctivoplasty is a
process that has been successfully
used in the past few years.
It consists of the exhaustive cleaning
of the area of the pterygium and the
transplant of normal conjunctiva towards
the bloody area, where this is desiccated.
Free graft conjunctivoplasty is an
effective and safe process basically
employed on recidivant pterygium;
however, performing it on the primary
offers guarantees of success, since
the structures of the anterior segment
maintain an intact morphology.
The frequency of recidivism with upper
limbus free graft conjunctivoplasty
reduces the possibility of recidivism
to 0.5-1%.
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