This document provides an update from Dr. J. Alberto Martinez on pterygium treatments and procedures at Visionary Eye Doctors. It summarizes the number of pterygium evaluations and surgeries performed in 2019 and 2020. It describes the EyeWhiteASAP procedure used to perform pterygiectomy, which is sutureless and uses fibrin glue and conjunctival autografts with cryopreserved amniotic membrane for superior cosmetic outcomes. Results show very low recurrence rates of 0.5% for primary and 1.5% for recurrent pterygiectomy when using this technique. The document also briefly outlines other research initiatives and procedures performed, such as pingueculectomy, corneal tattoo, and

1. Visionary Eye Doctors Pterygium Update.
J. Alberto Martinez, MD
Founder,Visionary Eye Doctors
Associate Professor of Ophthalmology, Georgetown University
Nov 10, 2020

2. Numbers
2019 So far in 2020
Pterygium evaluations 408 240
Primary nasal pterygiectomy 373 277
Recurrent pterygiectomy 32 13

3. EyeWhiteASAPTM Procedure
• 30+ years of experience
• In-office procedure: no anesthesiologist, less patient stress, saves the
medical system hundreds of thousands of dollars
• Sutureless and cautery-free
• Fibrin glue
• Conjunctival autograft (CAG)
• Cryopreserved amniotic membrane over CAG for superior cosmetic
outcomes

4. Technical Improvements

5. Technical Improvements

6. Technical Improvements
• AviteneTM UltraFoamTM Collagen Sponge: “enhances platelet
aggregation and release of protein to form fibrin”

7. Technical Improvements
• Fluorescein-stained cryopreserved amniotic membrane allograft
over limbus and conjunctival autograft

8. Results
• Literature shows recurrence rates of up to 80% with a bare sclera
technique.1
• EyeWhite primary nasal pterygiectomy with cryopreserved amniotic
membrane (CAM) at donor site*:
• Recurrence rate = 0.5%
• Mean follow up time = 119.1 weeks
• Min–max follow up = 0.14 – 372.3 weeks (1 day – 7.2 years)
• Recurrent Pterygiectomy with CAM:
• Recurrence rate = 1.5%
• Mean immediate postoperative pain rating from 0-10: 0.98
1Clearfield E, Muthappan V, Wang X, Kuo IC. Conjunctival autograftfor pterygium. Cochrane Database Syst Rev. 2016 Feb 11;2:CD011349. doi: 10.1002/14651858.CD011349.pub2. PMID: 26867004; PMCID: PMC5032146.
*Unpublished data, CAM over donor site

9. Results

10. Results

11. Results

12. Results

13. Results

14. Results

15. National Presentations
• List or images?

16. Current Research Initiatives
• Imaging goblet cells
• Quantification of cosmetic outcomes
• Pterygium speculum
• Artificial conjunctiva
• Ocular stapler

17. Pingueculectomy
• Numbers (since 2015)
• Pingueculectomy: 33
• Double pingueculectomy: 1
• Combined with pterygiectomy: 19

18. CornealTattoo

19. CornealTattoo

20. Corneal Tatoo, Lipid Keratopathy

22. VED Updates
• Cataract Surgery
• 205 Panoptix IOLs implanted with
uniformly excellent results
• Upcoming Non-diffractiveVivity IOL

23. Alcon Vivity

25. Thank you! Questions?
J. Alberto Martinez, MD
301-651-9095 (Cell)
jalbertom@comcast.net (Personal)
drmartinez@voeyedr.com (Work)