Bulbar conjunctival autograft with rectus muscle transeyelid traction suture for diplopia due to bulbar conjunctival scarring.

Cases of bulbar conjunctival fibrosis from pterygium surgery, strabismus surgery, trauma, chemical exposure, and inflammatory conditions can be difficult to manage. Despite surgical approaches entailing autografts, amniotic membranes, and antimetabolites, preventing postoperative scarring and contracture can be difficult, particularly in patients with susceptibility to scarring. The authors present a case of a 39-year-old man with diplopia secondary to subconjunctival scarring and fibrosis after multiple pterygium surgeries. The authors describe a unique surgical approach using a medial rectus transeyelid traction suture as a means of preventing postoperative conjunctival graft contracture and functional disability.