Postoperative Care for Pterygium Surgery

Pterygium surgery with conjunctival autograft is a safe and effective procedure. However, it requires specific care during recovery to avoid complications, promote healing, and reduce the risk of recurrence.

General Instructions (First 24-48 Hours)

✔ Relative rest: Avoid bending, physical exertion, or lifting heavy objects (>5 kg).

✔ Eye protection: Use a transparent shield or patch during sleep during the first week.

✔ Strict application of eye drops: Antibiotic, anti-inflammatory, and lubricant, as prescribed by the physician.

✔ Do not rub or touch the operated eye.

✔ Mandatory postoperative checkups: Day 1, Week 1, and Month 1.

Postoperative Eye Drop Management

Antibiotic

1-2 weeks: Prevent infection.

Anti-inflammatory (corticosteroid)

4-6 weeks: Reduce inflammation and risk of recurrence.

Preservative-free lubricant

1-3 months: Promotes healing and reduces foreign body sensation.

(The schedule may vary depending on progress and medical criteria.)

🚫 Restricted Activities (First Month)

❌ Swimming in pools, oceans, or rivers (risk of infection).

❌ Makeup or eyelid creams for at least 2 weeks.

❌ Direct exposure to dust, smoke, or strong wind (wear UV-protective glasses).

❌ Contact sports or sports at risk of injury (soccer, boxing, basketball, etc.) until medical clearance.

❌ Driving until the ophthalmologist confirms adequate vision.

✅ Normal Symptoms

Gritty or foreign body sensation.

Mild to moderate tearing and redness.

Fluctuating blurred vision in the first few days.

⚠️ Emergency Signs (See an Ophthalmologist Immediately)

🔴 Severe pain that does not subside with common painkillers.

🔴 Sudden loss of vision.

🔴 Purulent discharge or redness that worsens.

🔴 Heavy bleeding or severe swelling.

Recovery Progress

First Week

Pain and irritation decrease. The eye remains red. Use lubricants, glasses, and a night guard.

2-3 Weeks

Less redness and discomfort. Resume light activities, even without strenuous exercise.

1 Month

Eye is healing; vision is more stable. Continue medical follow-up and anti-inflammatory drops.

3-6 Months

Complete healing. No recurrence is confirmed. Regular checkups.

Potential Complications (Rare)

Pterygium recurrence (low risk with modern techniques).

Conjunctival granuloma (localized inflammation, treatable with drops or minor surgery).

Eye infection (rare, but requires immediate treatment).

Irregular healing (may cause redness or chronic discomfort if not properly cared for).

Additional Recommendations

✔ Always wear sunglasses with UV 400 protection when outdoors.

✔ Maintain a diet rich in antioxidants (fruits, vegetables, omega-3s).

✔ Avoid dry eyes with the constant use of lubricants.

✔ Do not discontinue eye drops without medical advice.

When to Contact an Ophthalmologist?

If you have questions about the use of medications.

Before resuming risky activities (swimming, sports, long trips).

If you experience severe pain, persistent blurred vision, abundant discharge, or progressive redness.