Pterygium: Difference between revisions
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==Background== | ==Background== | ||
*Surfer's eye | *Also known as "Surfer's eye" | ||
*Benign | *Benign scleral growth | ||
**Mass of collagen degeneration and fibroblastic proliferation | **Mass of collagen degeneration and fibroblastic proliferation | ||
**Begins near the medial canthus and grows laterally | |||
*Risk factors | *Risk factors | ||
**High sunlight exposure | **High sunlight (UV) exposure | ||
**Windy, sandy and dusty environments | **Windy, sandy and dusty environments | ||
==Clinical== | ==Clinical Features== | ||
*Triangular visible white-colored mass on medial side of sclera | *Triangular visible white-colored mass on medial side of sclera | ||
*Foreign body sensation with irritation, pruritis, tearing, dryness | |||
*Foreign body sensation with irritation, tearing, dryness | *Vision impairment (when pterygium has crossed the limbus | ||
* | |||
== | ==Differential Diagnosis== | ||
{{Template:Ocular DDX}} | {{Template:Ocular DDX}} | ||
==Diagnosis== | |||
*Clinical diagnosis, based on history and physical exam | |||
==Management== | ==Management== | ||
*Naphazoline/ketorolac (NSAID) drops | *Naphazoline/ketorolac (NSAID) drops (if symptomatic) | ||
* | |||
==Disposition== | |||
*Discharge with ophtho follow-up (can be surgically corrected/removed) | |||
==See Also== | |||
[[Eye Algorithm (Main)]] | |||
==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:Ophtho]] | [[Category:Ophtho]] | ||
Revision as of 05:19, 11 August 2015
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
- High sunlight (UV) exposure
- Windy, sandy and dusty environments
Clinical Features
- Triangular visible white-colored mass on medial side of sclera
- Foreign body sensation with irritation, pruritis, tearing, dryness
- Vision impairment (when pterygium has crossed the limbus
Differential Diagnosis
Ocular Diagnoses
- Acute angle-closure glaucoma
- Conjunctival abrasion
- Corneal foreign body
- Corneal ulcer
- Episcleritis
- Painful eyes with normal exam
- Pterygium
- Scleritis
- Traumatic hyphema
- Uveitis
- Pinguecula
Diagnosis
- Clinical diagnosis, based on history and physical exam
Management
- Naphazoline/ketorolac (NSAID) drops (if symptomatic)
Disposition
- Discharge with ophtho follow-up (can be surgically corrected/removed)