In the AJO, researchers compared injecting a low dose of mitomycin in the pterygium one month before bare sclera surgery, and compared that to a conjunctival flap procedure. Remarkably, results were excellent in both groups. Mild whitening of the conjunctiva was noted in the mitomycin group, cosmetically acceptable. No other complications. Considering the low reimbursement rate for pterygium, I would consider this procedure, as my conjunctival autograft is a little time consuming considering how little I am paid. And anyone not using fibrin glue is wasting time!