Using the eye fixation speculum as an adjunct to pterygium surgery

A technique is described that overcomes the two biggest problems facing the surgeon when dissecting a pterygium from the cornea - bleeding and eye movement. Our technique however, requires only minimal anesthesia (topical and subconjunctival) and the use of a disposable speculum and suction ring. An added advantage is this particular speculum gives good exposure of the superior bulbar conjunctiva; this facilitates harvesting a conjunctival autograft.