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NV Eye Surgery — Pterygium Removal Surgery

Pterygium Surgery
in Henderson & Las Vegas

A pterygium is a non-cancerous growth of skin across the eye that develops after years of sun exposure. When it starts covering the cornea or simply looks and feels wrong, it can be removed.

  • Amniotic membrane and conjunctival autograft techniques
  • Roughly 5% recurrence, meaning a low chance of a second surgery
  • Self-pay patients usually save around $500 versus other local surgeons

Am I a Candidate for Pterygium Removal Surgery?

There are two common reasons to consider pterygium surgery, and only one of them is about vision.
Growth Covering the Cornea
Large enough to spread across the cornea or alter its shape, blurring vision
Persistent Irritation
Redness, irritation, or a constant foreign body sensation in the eye
Cosmetic Impact
Redness that has a negative effect on the appearance of your eye
History of Sun Exposure
Frequent sun exposure, or living closer to the equator, raises the risk

The first reason is the growth reaching the cornea. When a pterygium becomes large enough to cover the cornea or change its shape, vision starts to blur, and removal can both improve vision and prevent further deterioration. The second reason is irritation that has become genuinely annoying, or redness with a real cosmetic impact on the appearance of your eye. Both are legitimate. Because a pterygium is potentially sight-threatening, removal is usually considered medically necessary when you have symptoms.

What Is a Pterygium?

A pterygium is a non-cancerous growth of skin over the eye that develops as a response to years of sun exposure. Ultraviolet rays damage the small cells and drive abnormal growth. The name comes from the Greek word for wing, because of the wing shape the growth takes, and it is also known as surfer’s eye or carnocidad in Spanish. A mild pterygium may only cause redness. As it grows across the cornea it can blur vision and change the corneal shape. Surgery removes the scarred skin from the eye and covers the defect to promote healing.

Medical Management First
Steroid drops and lubricants can manage the symptoms of a mild pterygium without surgery. Surgical removal is recommended for larger growths spreading across the cornea.
Removing the Growth
The scarred skin is removed from the surface of the eye. You are given relaxing medicine beforehand and the surgical site is numbed, so the procedure itself is not painful.
Covering the Defect
Either healthy tissue from your own eye, called a conjunctival autograft, or an amniotic membrane graft is used to cover the area and promote healing.
Two Surgical Settings
Medically insured patients have their procedure at the surgery center. Self-pay patients can use our in-office surgical suite, which is what produces the savings.

Patient Reviews

Moira S. 

I wanted a second opinion regarding some problems I’ve been having since I underwent cataract surgery. Everyone was friendly and professional. I really appreciated Dr DeBry’s honesty and suggestions as to the way forward. I’m so thankful someone recommended him to me.

Jay M.

Great office staff! Dr. Debry was amazing was able to check the issues I was having with me eye and came up with a quick solution!
My eye feels so much better already!
Highly recommend!

Richard G.

The best eye care in the Southern Nevada valley. I have been going there for 10 plus years. Dr Peter DeBry is very skilled, knowledgeable, professional and listens carefully to patients, I highly recommend him and Nevada Eye Surgery!

Judy K.

Dr. DeBry is wonderful! He explains everything thoroughly. I feel fully confident in his care. The staff is great!!! So kind, efficient and professional. I value Dr DeBry’s expertise so much that I drive 2 hours there and then 2 hours back home to be under his care!! The best eye specialist ever!!!

Read more patient reviews

Drops, Autograft, or Amniotic Membrane?

A mild pterygium and one growing across the cornea call for completely different responses. Where surgery is warranted, the question becomes what covers the defect afterward, because that choice drives the recurrence rate and the cosmetic result.

Steroid Drops and Lubricants

Managing symptoms without surgery

  • Can manage the symptoms of a mild pterygium effectively
  • No procedure and no recovery period
  • Appropriate when the growth is not approaching the cornea
  • Manages symptoms without removing the growth
  • Not sufficient once the pterygium starts covering the cornea
  • Does not address the cosmetic appearance of the eye
For Mild Cases

Conjunctival Autograft

Healthy tissue from your eye covers the defect

  • Uses healthy tissue from your own eye, so there is no donor material
  • Low recurrence risk and excellent cosmetic outcomes
  • A well-established technique with a long track record
  • Covers the defect to promote proper healing
  • Requires harvesting tissue from another area of the eye surface
  • Recurrence is still possible, at roughly 5% overall
Your Own Tissue

Amniotic Membrane Graft

A membrane graft covers the surgical site

  • No tissue needs to be taken from elsewhere on your eye
  • Low recurrence risk and excellent cosmetic outcomes
  • Useful when the affected area is extensive
  • Promotes healing across the surgical defect
  • Uses graft material rather than your own tissue
Graft Material

With both amniotic membrane and conjunctival autografts available here, the risk of recurrence is low and cosmetic outcomes are excellent. Which graft suits your eye is decided at your evaluation.

Your Pterygium Removal Surgery Journey

The surgery is short. The healing timeline is what patients most need explained in advance, because a red eye for three weeks is normal and alarming at the same time.
1
Evaluation
  • Examination of the growth and how far it extends onto the cornea
  • Assessment of whether vision or corneal shape is affected
  • Discussion of medical management for milder cases
  • Insurance coverage or self-pay pricing confirmed
  • Graft technique selected for your eye
2
Surgery Day
    • Relaxing medicine given before the procedure
    • The surgical site is numbed, so the procedure is not painful
    • The scarred skin is removed from the eye
    • An amniotic membrane or conjunctival autograft covers the defect
    • Medications started to prevent infection and reduce inflammation
3
First Week
    • Scratchy discomfort for about three days
    • Eye rest for at least three days helps the graft take
    • The eye will be red, which is a superficial hemorrhage
    • Most patients return to work after about five days
    • Scratchy irritation generally lasts a week or two
4
Full Healing
    • Redness lasts about three weeks and resolves without issues
    • The eye stays pink for another six to ten weeks
    • It becomes white about three months after surgery
    • Post-operative visits continue for three months
    • Intraocular pressure is monitored during medication use

Expected Pterygium Removal Surgery Outcomes & Recovery

The eye looks worse before it looks better, and knowing the schedule turns an alarming three weeks into an expected one.
Low Recurrence
With amniotic membrane and conjunctival autograft techniques, roughly 5% of pterygium will require a second surgery months or years later.
Excellent Cosmetic Results
Cosmetic outcomes with modern graft techniques are excellent, which matters given that appearance is one of the two main reasons patients seek removal.
Back to Work in Five Days
Eye rest for at least three days helps the procedure succeed, and most patients return to work after about five days depending on how the eye feels.
Clear Vision Preserved
Removing a pterygium that has spread onto the cornea can improve vision and prevent further deterioration.

What Patients Can Expect in the First 30 Days

  • Scratchy discomfort is strongest for about three days, and mild irritation can last a week or two
  • Rest the eye for at least three days to help the graft take
  • The eye will be red for around three weeks, a superficial hemorrhage that resolves on its own
  • It stays pink another six to ten weeks before turning white at about three months
  • Medications are used to prevent infection and reduce inflammation
  • Most patients return to work after roughly five days

Safety & Risk Considerations

Pterygium surgery is a surface procedure and the major risk is recurrence rather than anything that threatens the eye. With both graft techniques available, that recurrence risk is low and cosmetic outcomes are excellent.

Safety Profile

  • The procedure itself is not painful: relaxing medicine is given beforehand and the site is numbed
  • A surface procedure that does not enter the eye
  • With amniotic membrane and conjunctival autografts, recurrence risk is low and cosmetic outcomes are excellent
  • Dr. DeBry has performed over 15,000 eye surgeries and uses current technology for pterygium treatment
  • Two surgical settings available, so both insured and self-pay patients can be treated

Possible Side Effects

  • Recurrence is the major risk, with approximately 5% of pterygium requiring a second surgery months or years later
  • Intraocular pressure can rise from the effects of the post-operative medication, which is usually not permanent and can be treated
  • Permanent scar tissue on the cornea is possible depending on how healing goes
  • An irregular corneal shape, meaning astigmatism, can develop and could reduce vision
  • Scratchy discomfort for about three days, with the eye red for three weeks and pink for six to ten weeks afterward

How We Minimize Risk

Graft Coverage of the Defect

Covering the surgical site with either your own conjunctival tissue or an amniotic membrane is what keeps recurrence low and the cosmetic result clean.

Pressure Monitored During Medication

Post-operative medication can raise intraocular pressure, so it is watched during the three months of included follow-up and treated if it rises.

Volume and Current Technique

Over 15,000 eye surgeries performed, with both current graft methods offered rather than a single technique applied to every eye.

Why Patients Travel Here for Pterygium Surgery

This practice is a local leader in pterygium surgery, and treats patients from California and Arizona as well as Southern Nevada.
Two Surgical Settings
A surgery center option for medically insured patients and our in-office suite for self-pay patients means we can treat every patient who needs it, at a price that works.
Both Graft Techniques
Amniotic membrane and conjunctival autograft methods are both used here, which is what keeps recurrence low and cosmetic outcomes strong.
Corneal Subspecialty Background
Fellowship training in corneal and external disease at the Bascom Palmer Eye Institute, applied to a condition that is fundamentally a disease of the eye surface.

Meet Your Surgeon

Pterygium surgery here is performed by a fellowship-trained corneal and external disease specialist who has completed over 15,000 eye surgeries, with evaluation and follow-up handled by our clinical team.

Pterygium Removal Surgery in Henderson & Las Vegas

Pterygium evaluations at both offices, with surgery at either the surgery center or our in-office suite.

Cost & Insurance

Pterygium is potentially sight-threatening, and the surgery is usually covered by insurance because removal counts as medically necessary once you have symptoms.

With Insurance

What you pay depends on your co-pay and deductible amount. That price includes preoperative testing, the surgical suite, the surgeon fee, and three months of post-operative visits.

    • Removal is considered medically necessary when you are experiencing symptoms
    • Common plans accepted include Medicare, Blue Cross Blue Shield, Cigna, Aetna, Culinary, UMR, Teachers, United HealthCare, Sierra Health and Life, and TriCare
    • Insured patients have the procedure at the surgery center
    • Text a photo of your insurance card to (702) 935-5746 to confirm your coverage
    • We take Medicare but cannot see Senior Dimensions or Humana Gold Medicare Advantage patients except in rare authorized cases

Self-Pay

Our in-office surgical suite gives self-pay patients a second option, and it is the reason patients travel here from California and Arizona for pterygium removal.

    • Self-pay patients usually save around $500 per treatment compared with other local surgeons
    • All payment forms accepted: cash, check, credit card, or money order
    • CareCredit financing available through our office
    • You can be seen here even without medical insurance, or if we are not on your plan

Flexible financing available. We work with CareCredit to offer low- and no-interest payment plans for care not covered by insurance. Ask about your options at your visit. Results may vary. Individual results are not guaranteed. Financing subject to credit approval. See office for complete terms and conditions.

locations

Frequently Asked Questions

The questions we hear at pterygium evaluations, drawn from what patients in Las Vegas, California, and Arizona ask most.

Schedule Your Free Consultation

Most patients see results within 24 hours. Consultations are available at all four locations, online scheduling takes less than two minutes.
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