pterygium graft dislocated

[keith999]

I recently had pterygium surgery using what I was told is a 'new' process of glueing a graft of tissue from under your eyelid, to the portion that is cut away to remove the pterygium.  After one week, the graft that was glued fell out... dislocated and now I have a big cut out of my eye.  My eye doctor who performed the surgery said it looks fine and will heal okay.

The problem I have is #1: it looks absolutely terrible and #2 every eye surgery clinic who performs this surgery has told me they have 100% success of the graft staying in place (including the eye doctor we went to).  I have a hard time believing I am the only patient out of 5 + offices I spoke with who's graft has dislocated.  From my general knowledge of postings on the internet, it sounds like with out the graft in place the chance of regrowth is very high.

I would like to know if my eye will heal without a graft in place, and if a new graft can be placed on my eye to make it look better?  I have lost confidence in my existing surgeon and need advice.

[eyeproblems103]

I also had the surgery. I noticed that it was inflamed month and a half after surgery. It's granuloma and it looks meaty in the corner of my eye. It can be tamed with steroid eye drops. It's inflamed now. I've gotten back on steroid drops for a week now and I'm still waiting for it to heal. I heard that Kenalog (steroid) injections can help reduce the inflamation.

[ann270]

Please respond

[ann270]

Dear Sir please respond to my post.

[ann270]

Sir can you please respond to my post..I am really worried

[John C Hagan III, MD, FACS, FAAO]

To butter......     If he doesn't respond you can leave a note for him by clicking on his name-active link. JHaganMD

[John C Hagan III, MD, FACS, FAAO]

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[butterflykisszz]

I know it's been a while... How did you know the graft dislodged? I had te surgery 4 days ago. I noticed a fleshy part where the incision is near the corner of my eye and I can feel it when I move my eye. I'm afraid my graft came dislodged. Could you tell it dislodged? Did you feel it on your eye? Or did it fall out of the eye or something?  How is your eye now?

[John C Hagan III, MD, FACS, FAAO]

1. Use the search feature and archives to read about pterygium surgery. Its usually slow, red, irritated, painful and not quick to heal. There is always a 10-15% of reoccurence.
2. Nothing in Medicine is always 100% and that's why I never say :"always" or "100%" in my practice and never guarentee anything.
3. Yes there is a chance it will heal fine since one method of healing is "bare sclera technique" where you just cut off the ptyergium and let the tissue heal in by secondary intent.

JCH MD