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Pterygium

Understanding About Pterygium

Pterygium, often called “surfer’s eye,” is a growth of fleshy tissue on the white part of the eye (conjunctiva) that can extend onto the cornea. While usually benign, it can cause discomfort, redness, and vision problems if the growth progresses. The condition is most commonly associated with prolonged exposure to UV rays, wind, dust, and dry conditions.

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Types of Pterygium :

A minor, non-progressive growth that typically doesn’t interfere with vision.

A larger growth that gradually advances towards the cornea, potentially affecting vision and causing irritation.

A pterygium that returns after surgical removal, which can be more aggressive in its regrowth.

Symptoms:

Inflammation causes noticeable redness in the eye.

The growth often leads to a feeling of dryness or irritation.

A feeling as if something is stuck in the eye, common with larger pterygia.

If the growth extends onto the cornea, it can distort vision.

Changes in corneal shape caused by pterygium may lead to astigmatism, resulting in blurred or distorted vision.

Treatment:

These help reduce irritation and keep the eye moist.

Steroid eye drops are used to reduce inflammation and swelling.

Sunglasses that block UV light can prevent further growth and reduce irritation from environmental factors.

Surgery is considered for larger or progressive pterygium that interferes with vision or causes persistent discomfort.

Precautions:

Always wear UV-protective sunglasses in bright sunlight or windy environments.

Reducing sun exposure, especially during peak hours, can help slow the progression of pterygium.

Protective eyewear can prevent irritants like dust from aggravating the condition.

Regular use of lubricating eye drops can prevent dryness and minimize symptoms.

Before Surgery

Before undergoing pterygium surgery, your ophthalmologist will perform a detailed eye examination, measuring the size and location of the pterygium and determining if surgery is necessary. You may be advised to stop wearing contact lenses a few days before the procedure. Pre-surgical preparation also involves discussing any medications you are taking and possibly stopping certain medications, such as blood thinners, before the procedure. Your doctor may also prescribe anti-inflammatory eye drops in the days leading up to the surgery to reduce inflammation and make the eye more suitable for surgery. Ensure you arrange for someone to drive you home after the surgery, as your vision may be blurred immediately following the procedure.

During Surgery

Pterygium surgery is typically performed as an outpatient procedure under local anesthesia, so you will be awake but won’t feel pain. The surgeon will first numb your eye with anesthetic eye drops or injections. During the surgery, the surgeon carefully removes the pterygium from the eye. A conjunctival graft (a small piece of tissue taken from another part of the eye) or an amniotic membrane graft may be used to cover the area where the pterygium was removed. This graft helps prevent the pterygium from growing back and promotes healing. Stitches or tissue adhesive (glue) are used to secure the graft. The procedure typically lasts 30 to 45 minutes. You may feel some pressure during the surgery, but there should be no pain. After the surgery is complete, your eye will be covered with a bandage or shield to protect it as it begins to heal.

After Surgery

After pterygium surgery, your eye may feel irritated, and your vision may be blurry for a few days. Prescription eye drops are necessary to prevent infection, reduce inflammation, and promote healing. You should avoid rubbing your eye, swimming, or exposing your eye to dust and bright light for a few weeks. It’s essential to attend all follow-up appointments to monitor healing and ensure there are no signs of recurrence. Full recovery generally takes 2 to 4 weeks.

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Pterygium FAQs

Pterygium is not usually dangerous but can grow large enough to impair vision or cause discomfort if left untreated.