Functional oculoplastic surgery focuses on the eyelids, eye sockets and facial structures around the eye area. It’s a highly specialised surgical procedure combining ophthalmology and plastic surgery. The surgeries are also delicate and involve operating on incredibly fine structures.


Pterygium is a common eye condition characterised by the development of pinkish, fleshy tissue on the white part of the eye (conjunctiva), extending at times onto the cornea. Symptoms may include redness, irritation, a sensation of a foreign body, and blurred vision. Pterygium is often linked to prolonged exposure to UV light and dry, dusty environments.

What is the non-surgical management of Pterygium?

The primary approach to non-surgical management involves the use of artificial tears. Occasionally, low-concentration artificial tears may be required, guided by your ophthalmologist’s recommendations.

When is surgical intervention of Pterygium required?

When Pterygium causes significant symptoms or affects vision, surgical intervention may be suggested. Pterygium surgery is a safe and effective procedure aiming to remove abnormal tissue, restoring the health and clarity of the affected eye. Typically performed under local anaesthesia on an outpatient basis, you will be able to return home the same day.

What are the benefits of Pterygium surgery?

  • Improved comfort: Alleviates redness, itching, and irritation, enhancing eye comfort and vision clarity.
  • Restored appearance: Removes visible growth, improving the natural appearance of the eye.
  • Enhanced vision: Potentially improves vision previously affected by the growth.

What are downsides of Pterygium Surgery?

  • Recurrence: Though rare, advanced techniques have reduced recurrence rates.
  • Temporary discomfort: Normal post-operative symptoms like mild discomfort, redness, and watery eyes resolve within weeks.
  • Healing time: Full recovery may take several weeks, requiring adherence to post-operative instructions.

What are the potential risks and complications?

Pterygium can be a concerning condition and, as each case varies, it is essential that you seek accurate diagnosis and management from a specialist surgeon.

While generally safe, Pterygium Surgery carries risks such as infection, bleeding, temporary or long-term dryness, and worsened vision due to changes in astigmatism or corneal damage, although this is extremely unlikely.

Pterygium surgery is a safe and effective method offering relief, improved vision, and enhanced eye appearance.

Experienced oculoplastic surgeon Dr Nick Koutroumanos provides you with the highest quality of care and expertise to help you regain optimal eye health.

Oculoplastic surgeon London


Dr Nick Koutroumanos

Dr Nick Koutroumanos is a London-based Ophthalmic & Oculoplastic surgeon, with particular subspecialty expertise in ophthalmic plastic & reconstructive eyelid, orbital and lacrimal surgery.

His private practice, based at The Hospital of St John & St Elizabeth in St John’s Wood complements his work in charge of a large NHS oculoplastics practice at the Royal Free Hospital in Hampstead.

A qualified senior trainer and Royal College Examiner in ophthalmic plastic surgery, cataract surgery and general ophthalmology, he runs an Oculoplastics Fellowship training programme that is highly sought-after by both UK and international candidates.

Kind Words from Our Patients


A true perfectionist

Words are not enough to express my sincere gratitude for the care and dedication Dr Koutroumanos put into my journey. I felt safe and secure in his hands. This is someone who truly cares about outcome and ethics of practice. A true perfectionist. I would not hesitate to wholeheartedly recommend him.

100% worth it

I had surgery a few days ago with Dr Koutroumanos for congenital ptosis. It’s early days but I don’t think it’s too early to say the results will be life changing for me in terms of confidence levels. I struggled at school due to the condition and have learnt to live with it – that is until I saw the doctor who was reassuring from the start and has just done the best job. 100% worth it and amazing to know I was in such safe hands. I can’t thank him enough.

I’m really happy with my results

I’ve recently had a brow lift and blepharoplasty with Mr N Koutroumanos. The whole process from start to finish was handled professionally and each process was very informative. I’m still at the recovery stage, so far I’m really happy with my results. Highly recommend using Mr N Koutroumanos services.