Pterygium: Difference between revisions
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**Mass of collagen degeneration and fibroblastic proliferation | **Mass of collagen degeneration and fibroblastic proliferation | ||
**Begins near the medial canthus and grows laterally | **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== | ==Clinical Features== | ||
[[File:Pterygium.png|thumb|Pterygium]] | |||
*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, | *Foreign body sensation with irritation, [[pruritus]], tearing, dryness | ||
*Vision impairment (when pterygium has crossed the limbus | *[[vision loss|Vision impairment]] (when pterygium has crossed the limbus | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{ | {{Ocular DDX}} | ||
== | ==Evaluation== | ||
*Clinical diagnosis, based on history and physical exam | *Clinical diagnosis, based on history and physical exam | ||
==Management== | ==Management== | ||
*Naphazoline/ketorolac (NSAID) drops (if symptomatic) | *Naphazoline/ketorolac ([[NSAID]]) drops (if symptomatic) | ||
==Disposition== | ==Disposition== | ||
*Discharge with ophtho follow-up | *Discharge with ophtho follow-up | ||
** Irradiation and surgical excision. | **Irradiation and surgical excision. | ||
==See Also== | ==See Also== | ||
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
- 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
- Acute angle-closure glaucoma
- Conjunctival abrasion
- Corneal foreign body
- Corneal ulcer
- Episcleritis
- Painful eyes with normal exam
- Pterygium
- Scleritis
- Traumatic hyphema
- Uveitis
- Pinguecula
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.