Purpose: To determine the long term follow up results and recurrence rates after pterygium excision with conjunctival autograft using fibrin glue. Methods: A total of 1439 eyes operated for pterygium were retrospectively evaluated for recurrence rates and postoperative complications. Of 1434 patients, 1346 had primary pterygium, of which 1276 had nasal pterygium and 70 patients had both nasal and temporal pterygium, 93 patients had recurrent pterygium. All patients were operated using conjunctival autograft using fibrin glue and followed up for recurrences. Only cases with minimum of 6 months follow up were included in the study. Results: The mean recurrence rate in the primary pterygium group was 0.89% (n=12 of 1346) and in the recurrent pterygium group, it was 12.9% (n=12 of 93). An overwhelming majority of conjunctival grafts were secured adequately with fibrin glue, with postoperative complications like graft displacement noted in only 0.48%(n=7). Other complications like donor site granuloma were noted in 2.36% (n=34) patients. Conclusion: Use of fibrin glue for securing conjunctival autografts reduces recurrence rates significantly and is safe due to fewer postoperative complications.