Sutureless and glue free limbal conjunctival auto graft for primary pterygium surgery.

I enjoyed reading the article by Malik et al titled ‘Efficacy of sutureless and glue-free limbal conjunctival auto-graft for primary pterygium surgery’ published in the Nepalese Journal of Ophthalmology (Malik et al, 2012). The authors highlighted an important technique of primary pterygium surgery without application of sutures or bio-fibrin glue. This is, of course, a very challenging procedure, and Malik et al (2012) report only one recurrence among the forty cases (prevalence 2.5%) of primary pterygium surgery, which is an excellent result. Similarly, de Wit et al (2012) report no recurrence in the mean follow-up period of 9.2 months from their case series of pterygium surgery. However, I believe a longer follow-up period maybe warranted.