Following surgical excision of a pterygium, fibrovascular tissue can regrow at the prior operative site and extend across the limbus onto the cornea. This specific scenario — recurrent pterygium — calls for a distinct management approach from primary disease.
Clinical scenario: There is no standard definition of recurrence, but it is generally accepted that recurrence has occurred when a fibrovascular growth at the position of the previously excised pterygium crosses the limbus onto the cornea for any distance.
Management of recurrent pterygium involves a surgical approach combined with adjunctive measures. The complete technique selection, combination components, and procedural details are outlined in the full protocol.
There is no standard definition of recurrence but it is generally accepted that there is a recurrence when a fibrovascular growth in the position of the previously excised pterygium crosses the limbus unto the cornea for any distance.
But for recurrent pterygia, a combination of conjunctival autograft plus MMC could be used.
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