Pterygium: Difference between revisions

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==Treatment==
==Background==
If inflamed:
*Also known as "Surfer's eye"
#naphazoline/ketorolac drops
*Benign scleral growth
#outpt referral to ophtho
**Mass of collagen degeneration and fibroblastic proliferation
**Begins near the medial canthus and grows laterally
 
===Risk factors===
*Sunlight (UV) exposure
*Windy, sandy and dusty environments
*More common near the equator
 
==Clinical Features==
[[File:Pterygium.png|thumb|Pterygium]]
*Triangular visible white-colored mass on medial side of sclera
*Foreign body sensation with irritation, [[pruritus]], tearing, dryness
*[[vision loss|Vision impairment]] (when pterygium has crossed the limbus
 
==Differential Diagnosis==
{{Ocular DDX}}
 
==Evaluation==
*Clinical diagnosis, based on history and physical exam
 
==Management==
*Naphazoline/ketorolac ([[NSAID]]) drops (if symptomatic)
 
==Disposition==
*Discharge with ophtho follow-up
**Irradiation and surgical excision.


==See Also==
==See Also==
[[Eye Algorithm (Main)]]
[[Eye Algorithm (Main)]]


[[Category:Ophtho]]
==References==
<references/>
 
 
[[Category:Ophthalmology]]

Latest revision as of 21:36, 6 October 2019

Background

  • Also known as "Surfer's eye"
  • Benign scleral growth
    • Mass of collagen degeneration and fibroblastic proliferation
    • Begins near the medial canthus and grows laterally

Risk factors

  • Sunlight (UV) exposure
  • Windy, sandy and dusty environments
  • More common near the equator

Clinical Features

Pterygium
  • Triangular visible white-colored mass on medial side of sclera
  • Foreign body sensation with irritation, pruritus, tearing, dryness
  • Vision impairment (when pterygium has crossed the limbus

Differential Diagnosis

Ocular Diagnoses

Evaluation

  • Clinical diagnosis, based on history and physical exam

Management

  • Naphazoline/ketorolac (NSAID) drops (if symptomatic)

Disposition

  • Discharge with ophtho follow-up
    • Irradiation and surgical excision.

See Also

Eye Algorithm (Main)

References