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Ocular Disease: Pterygium


What is a pterygium?

A pterygium is a pinkish, benign, wedge-shaped growth of tissue that may occur on either side of the cornea. The exact cause of the growth is not known, but due to the high frequency of cases that occur in sunny climates, it has been associated with exposure to ultraviolet (UV) radiation from the sun.

The tissue is actually a fibrovascular growth of conjunctiva. The growth commonly originates from the nose and progresses toward the center of the eye. Over time, the growth can cause instability in the tear film and lead to dry eye syndrome. The corneal degradation caused by the tissue may extend beyond the leading edge of growth. Because of this, the pterygium may negatively affect vision even if it does not extend into the visual field.


Symptoms

The physical signs of pterygia include the formation of a triangular, pinkish-colored tissue on the surface of the cornea. The growth may become red and inflamed with progression. If the lesion becomes large and thick, it may result in a sensation as if due to the presence of a foreign body.


Risk Factors

  • Living in a "sunny" climate and/or spending large amounts of time outdoors without protective sunwear

  • Age - highest risk usually found in individuals aged 20-40 years

  • Gender - males tend to show greater frequency of cases

  • Heredity

  • Exposure to irritants such as allergens and noxious chemicals


Treatment

An optometrist may prescribe lubricants (ointments or drops) that may reduce redness and provide pain relief. Surgery is recommended only when vision is affected.


Prevention

Wearing protective eyewear or sunglasses with 100% UVA and UVB protection is important to prevent this condition along with several other ocular health issues related to damaging ultraviolet light.

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