Surgical Preferences in the Management of Primary Pterygium among Anterior Segment Specialists

Purpose: The purpose of this study is to reflect anterior segment specialists’ current practice pattern regarding the management primary pterygium. Methods: A 24-item survey indications for surgery, different surgical techniques, use adjuvant pharmacological therapy, type intraoperative and postoperative preferred treatment early recurrences was sent members Saudi Ophthalmological Society (SOS) practicing cornea experts including consultants, specialists, fellows in Arabia. Results: total 61 specialists completed questionnaire (response rate 49%). More than 95% considered proximity pterygium visual axis an indication excision. most frequent technique excision extensive head conjunctival resection, base (69%) intermediate resection Tenon's capsule (53%). For replacement, autograft by 79%, amniotic membrane (54%), simple closure (46%). Interrupted vicryl sutures, fibrin glue, combined sutures tissue adhesive were graft fixation conveyed 85%, 46%, 34% our experts, respectively. An estimated recurrence 1-5% stated 29% respondents 46% reported within 6 12 months. Half specified using mitomycin C intraoperatively prevent recurrences. When occurred, corticosteroid agent choice. Conclusion: This set out pterygium, it may serve as insight further studies define optimal