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Conjunctival autograft · low recurrence

Pterygium surgery: the technique that doesn't grow back.

A pterygium ("surfer's eye") is a fleshy growth from the conjunctiva onto the cornea, common in sun-exposed populations across the Gulf and North Africa. The surgical technique is what governs whether it comes back: a conjunctival autograft with fibrin glue recurs substantially less often than the older bare-sclera technique that is still common in some clinics.

Pterygium Surgery with Dr. Ahmed Shaarawy, Shaarawy Cornea Clinic

Why choose us

International standard. Regional access.

Conjunctival autograft, not bare-sclera

Leaving the sclera bare is the old technique and it recurs often. We use a conjunctival autograft, your own tissue glued in place, which lowers recurrence substantially. Which technique your surgeon uses is the single biggest factor in whether it comes back.

Fibrin glue, not sutures

Glue fixation means less post-op irritation, faster healing, and better cosmetic result. No suture-removal visit needed.

Minimal cosmetic disturbance

The graft is harvested from the upper bulbar conjunctiva (under the upper lid where it's not visible). Healing is rapid and the eye looks normal within 2-4 weeks.

UV protection counseling

Pterygium is largely a sun-exposure disease. We explain UV-protection strategies (wraparound sunglasses, hats) post-op to reduce recurrence further.

Pterygium treatment map

How far has the growth come?

Choose the description that fits

A fleshy growth on the white of the eye with redness, still clear of the centre

Monitoring, sun protection, and treatment of the surface irritation

While it stays away from the visual axis the priority is to settle the surface and cut sun and dust exposure. If it starts to advance, or the redness will not settle, removal with a conjunctival autograft comes onto the table.

The growth has reached the cornea and is pulling on vision or inducing astigmatism

Removal with a conjunctival autograft secured with fibrin glue

Once it touches the cornea, waiting leaves a mark on the surface. Covering the bed with conjunctiva from the same eye, rather than leaving bare sclera, is what keeps recurrence lower.

Removed before, now back, with scarring or redness that will not settle

Revision with a conjunctival graft or amniotic membrane, plus surface repair

Recurrence usually traces back to a first operation that left bare sclera. Here we assess the surface and how much healthy conjunctiva is available to graft before choosing the next step.

This is guidance, not a diagnosis. The slit lamp exam and corneal topography decide the timing and the technique, not this widget.

Book a pterygium assessment

Procedures & pricing

Transparent USD pricing.

Final cost is set after clinical examination. Local-currency equivalents available on request. Insurance reports issued for international patients.

ProcedureBest forFrom (USD)
Conjunctival autograft (no sutures)Gold standard. Fibrin glue fixation.$400 - $800
Pterygium + amniotic membraneFor aggressive recurrent cases$600 - $1,200
Combined pterygium + cataractSingle OR session$900 - $1,800

Common questions

Frequently asked.

Will my pterygium grow back?
It can. A conjunctival autograft with fibrin glue recurs substantially less often than the older bare-sclera technique, and which technique your surgeon uses is the single biggest factor in your long-term outcome. We will not attach a recurrence percentage to this clinic's name: no audited series has been published, and sun exposure after surgery changes your own risk. UV protection afterwards is part of the treatment, not an optional extra.
Is pterygium surgery painful?
The procedure itself is painless under topical anesthetic drops. Post-op you'll have a foreign-body sensation and some redness for 1-2 weeks. Most patients return to office work in 3-5 days.
When should I have surgery?
Indications: vision is affected (pterygium reaches near or onto the visual axis), persistent irritation that doesn't respond to lubricants, induced astigmatism, or rapid growth. Cosmetic concerns alone are also a valid reason.
Can I have both eyes done at the same time?
Generally not. We operate on one eye, then the second 1-2 weeks later. This lets us monitor the first eye's healing without compromising your daily function.

Send a photo of your eye. We'll quote within 24 hours.

A clear photo of the affected eye (good lighting, no flash) is enough to start. We'll respond within 24 hours with the recommended technique, the all-in cost, and a travel plan.

Medical references

  1. Hirst LW. "Recurrence and complications after 1,000 surgeries using pterygium extended removal followed by extended conjunctival transplant." Ophthalmology. 2012;119(11):2205-2210. PMID: 22892149. One recurrence in 1,000 consecutive single-surgeon operations (0.1%), with more than a year of follow-up in 99% of patients.
  2. Dr. Ahmed Shaarawy: 20+ years of corneal and refractive surgery, Devers Eye Institute fellowship (Portland, Oregon), two surgical techniques published in the AAO video series. This clinic publishes no audited outcome series, so no figure on this page is a measurement of its own patients.
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