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pterygium surgery before and after this is a pterygium in this video well show how we remove it and then show the appearance of the eye one day one week and then three months after surgical removal there are a variety of techniques to remove pterygia in fact id venture to say that most surgeons have a slightly different technique how do i remove the teresium my personal technique involves application of local anesthesia lidocaine eye drops followed by placement of subconjunctival lidocaine with epinephrine directly into the pterygium as well as in the area that we will use to create the autograft the patient is awake but comfortable most patients are sedated with a valium tablet the procedure is painless for the patient the first surgical step is to remove the pterygium we lift the conjunctiva about five to six millimeters from the limbus then incise the conjunctiva we are careful to avoid incising the medial rectus muscle that is in this area then we peel the head of the trigium fr
