EyeRounds Online Atlas of Ophthalmology

Contributor:
William Charles Caccamise Sr,MD, Retired Clinical Asst Prof of Ophthal. U.of Rochester School of Medicine & Dentistry

Category: Oculoplastics
Diagnosis: Postop McReynold's procedure for pterygium

Image Comments:

From 1903 until at least 1975 when the photo was taken, the McReynold's operation of transplantation of the pterygium was a standard procedure for this condition. The operation consisted of dissecting the head with the attached neck and part of the body of the pterygium from its bed.A suture was placed through the head and brought down into a bulbar conjunctival pocket that had been dissected inferiorly to 6 o'clock. The suture was anchored into the superficial sclera at six o'clock. The pocket flap was then pulled up over the body of the pterygium and then tacked down to the body of the pterygium. The result is seen in the photo.

 

 

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