PTERYGIUM EXCISION WITH SUBCONJUNCTIVAL MMC INJECTION (MARCOF). SAFETY AND RESULTS OF THIS RAPID TECHNIQUE.

To present the long-term postoperative results of our pterygium excision rapid technique with intraoperative subconjunctival MMC injection and use of conjunctival flaps.

Ocular Surface and Glaucoma Service, Ophthalmology Dptm., Konstantopouleio-Patission Gen. Hptl., Athens, Greece, 2018-2022.

35 eyes of 31 patients underwent the same surgical technique by the same surgeon (CT) over a 5-year period. A close follow up regime is applied, with regular postoperative visits. Under topical anesthesia, we inject Mitomycin C 5μg/0.1ml mixed with lidocaine, under the body of the pterygium. We proceed with wide excision with a 30° knife and partial removal of the underlying tenon’s capsule. We create and advance adequate healthy conjunctival flaps sutured with 9-0 nylon or 8-0 vicryl, placing mattress limbus sutures. Postoperatively, topical treatment for 2 weeks is used. Additional 5- fluorouracil injections are administered subconjunctivaly when congestion is documented or high fibrovascular activity is suspected.

Mean age was 72.68 years (51-90). All patients were followed-up for at least one year, with a maximum of 5 years. No recurrence was documented. No intraoperative of postoperative complications were noted. A mean of 2.4 5-FU injections per patient were needed (0-4). Suture removal was performed on day 12- 15.

Mitomycin Assisted Rapid technique with Conjunctival Flaps (MARCoF) appears to be safe, quick and efficient, with no recurrences or complications and good cosmetic result. Strict follow up and 5-FU injections are critical for a long-term positive result.