Dr. Gajanan Pendkar

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Pterygium

What is a Pterygium?

A pterygium is a growth of the conjunctiva or mucous membrane that covers the white part of your eye over the cornea. The cornea is the clear front covering of the eye. This benign or noncancerous growth is often shaped like a wedge. A pterygium usually doesn’t cause problems or require treatment, but it can be removed if it interferes with your vision.

What causes it?

The exact cause of pterygium isn’t known. One explanation is that too much exposure to ultraviolet (UV) light can lead to these growths. It occurs more often in people who live in warm climates and spend a lot of time outdoors in sunny or windy environments. People whose eyes are exposed to certain elements on a regular basis have a higher risk of developing this condition. These elements include:

  • pollen
  • sand
  • smoke
  • wind

What are the symptoms?

A pterygium doesn’t always cause symptoms. When it does, the symptoms are usually mild. Common symptoms include redness, blurred vision, and eye irritation. You might also feel a burning sensation or itchiness. If a pterygium grows large enough to cover your cornea, it can interfere with your vision. Thick or larger pterygium can also cause you to feel like you have a foreign object in your eye. You might not be able to continue wearing contact lenses when you have a pterygium due to discomfort.

How is it treated?

A pterygium usually doesn’t require any treatment unless it’s blocking your vision or causing severe discomfort. Your eye doctor might want to check your eyes occasionally to see if the growth is causing vision problems.

Medications

If the pterygium is causing a lot of irritation or redness, your doctor may prescribe eye drops or eye ointments that contain corticosteroids to reduce inflammation.

Surgery

Your doctor may recommend surgery to remove the pterygium if eye drops or ointments don’t provide relief. Surgery is also done when a pterygium causes a loss of vision or a condition called astigmatism, which can result in blurry vision. You can also discuss surgical procedures with your doctor if you want the pterygium removed for cosmetic reasons.

There are a couple of risks associated with these operations. In some cases, a pterygium can return after being surgically removed. Your eye might also feel dry and irritated after surgery. Your doctor can prescribe medications to provide relief and reduce the risk of having a pterygium grow back.