Abstract:  Objective  To investigate the implementation of pterygium surgery among medical institutions partly in Shandong Province, and to promote the norms of pterygium surgery well cooperating with Shandong health strong foundation project. Design Cross-sectional survey. Participants 73 hospitals which attended the 2009 training courses about promoting clinical application of pterygium surgery. Method Questionnaires survey were conducted among 73 hospitals which attended the training courses.  Main Outcome Measures  Can carry out ophthalmic microsurgical or not, with or without separate departments or wards, amounts of pterygium surgery every year, surgical approachs performed, recurrence rate, best promoting strategy, best gains of training courses, etc. Result 75 questionnaires were sent out at the scene and 73 questionnaires were responded, including 10 provincial hospitals (13.70%), 43 municipal hospitals (58.90%) and 20 district hospitals (27.40%). 73 hospitals could carry out ophthalmic microsurgical, 68 hospitals own separate departments or wards. Less than 50 cases were performed in 10 hospitals every year, 50～100 cases in 34 hospitals, over 100 cases in 29 hospitals. 45 hospitals carried out pterygium excision combined with autologous stem cell transplantation, 14 hospitals carried out simple pterygium excision, 7 hospitals carried out pterygium excision combined with amniotic membrane transplantation, 7 hospitals carried out pterygium excision combined with antimetabolites therapy. The proportion of each grade hospitals whose recurrence rate of pterygium excision combined with autologous stem cell transplantation was less than 10% was as follow, 88.89% of provincial hospitals, 58.06% of municipal hospitals, 20% of district hospitals. 32 hospitals (43.84%) regarded the training courses as a good promoting method, 51 hospitals regarded the training course as an excellent opportunity to acquire surgical technique. Conclusions  Pterygium excision combined with autologous stem cell transplantation is the main trend of surgical approach in Shandong Province Medical Institute partly, with lower recurrence rate. Training courses are beneficial to normalization of the pterygium surgery andimprovement on the level of operation. (Ophthalmol CHN, 2013, 22: 354-356)

Key words: pterygium, surgical approach, autologous stem cell transplantation, training courses, questionnaires