Zero Recurrence After Sutureless Fibrin-Glue Conjunctival Limbal Autografting For Pterygium: Outcomes Of 41 Consecutive Real-World Cases

Pterygium may cause ocular irritation, cosmetic concerns and corneal astigmatism. Conjunctival limbal autografting is widely regarded as the most effective technique to minimise recurrence, although suture fixation may increase operative time and postoperative discomfort.

This study evaluates the clinical outcomes of a standardised sutureless fibrin-glue conjunctival limbal autografting approach for pterygium surgery.

Norfolk and Norwich University Hospital NHS Foundation Trust, United Kingdom.

A retrospective audit of 41 consecutive pterygium excisions performed by a single surgeon using a standardised surgical technique between November 2019 and February 2026 was undertaken.

All procedures involved pterygium excision followed by free conjunctival limbal autograft transplantation, including limbal tissue and meticulous removal of Tenon’s tissue, with graft fixation using fibrin sealant (Tisseel) without sutures. At the completion of surgery subconjunctival cefuroxime and dexamethasone were administered.

Outcomes assessed included graft stability, recurrence and surgical complications.

41 consecutive procedures were analysed. No intraoperative or postoperative complications occurred and all grafts remained stable without displacement or loss.

No recurrence was identified during follow-up of up to 12 months.

Sutureless fibrin-glue conjunctival limbal autografting demonstrated excellent safety, stable graft fixation and zero recurrence in this consecutive single-surgeon series.

This approach provides a reliable and efficient surgical technique that avoids suture-related morbidity while maintaining excellent clinical outcomes.