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Understanding Pterygium: Causes, Treatment, and Prevention

Pterygium Removal Surgery Case with Emerald Eye Center's owner/founder, Dr. Natalia Tilki (an ophthalmologist serving the Gre

If you’ve ever noticed a fleshy growth on the white part of your eye, you might be dealing with a pterygium. This common eye condition, though benign, can cause discomfort and affect vision if left untreated. Let’s delve into what pterygium is, what causes it, how it can be treated through removal surgery, and the importance of prevention with sunglasses.

 

What is Pterygium?

Pterygium (pronounced ter-IJ-ee-um) is a non-cancerous growth of tissue that develops on the conjunctiva, which is the clear, thin membrane that covers the white part of the eye (sclera). It usually starts on the side closest to the nose and can extend towards the cornea, potentially affecting vision if it grows large enough.

 

Causes of Pterygium

The exact cause of pterygium isn’t fully understood, but several factors are believed to contribute to its development:

- Exposure to Ultraviolet (UV) Light: Chronic exposure to sunlight, especially UV radiation, is considered a major risk factor. This is why pterygium is more common in people who live in sunny climates or spend a lot of time outdoors without adequate eye protection.

- Environmental Factors: Dust, wind, and dry eye conditions may also play a role in the development of pterygium.

 

Treatment: Removal Surgery

While small pterygia may not require treatment beyond regular monitoring, larger or symptomatic pterygia may need to be surgically removed to prevent vision problems and relieve discomfort. Here’s what to expect from pterygium removal surgery:

  1. Consultation and Evaluation: Your eye doctor will assess the size and severity of the pterygium and discuss your symptoms and treatment options.

  2. Surgery: The surgical procedure involves removing the pterygium tissue and possibly using a graft of tissue from another part of the eye to cover the area. This helps reduce the risk of the pterygium growing back (recurrence)

  3. Recovery: After surgery, you may experience mild discomfort and redness, which typically improves within a few days to weeks. Your doctor will provide instructions on post-operative care, including the use of eye drops and avoiding strenuous activities.

 

Prevention: Importance of Sunglasses

Prevention is key to reducing the risk of developing pterygium, especially if you live in a sunny climate or work outdoors. Here’s how sunglasses can help:

- UV Protection: Choose sunglasses that provide 100% UV protection (UV-A and UV-B). This helps shield your eyes from harmful ultraviolet rays, reducing the risk of developing pterygium and other eye conditions like cataracts and macular degeneration.

- Wind and Dust Protection: Sunglasses with wrap-around frames or large lenses can also protect your eyes from wind, dust, and other environmental irritants, which may contribute to the development or aggravation of pterygium.

- Comfort: Wearing sunglasses outdoors not only protects your eyes but also enhances comfort by reducing glare and eyestrain, especially on bright sunny days.

 

Conclusion

Pterygium is a common eye condition that can be managed effectively with timely treatment and preventive measures. If you notice any changes in your eye health or experience discomfort, consult an eye care professional for an evaluation. By understanding the causes, treatment options like removal surgery, and the preventive benefits of wearing sunglasses, you can take proactive steps to maintain healthy eyes and clear vision for years to come.

Remember, regular eye exams and protective measures like wearing sunglasses are essential for preserving your eye health and preventing conditions like pterygium. Prioritize your vision—your eyes deserve it!

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Pterygium is a proliferation of fibrovascular tissue, which starts on the sclera and can grow on the cornea, affecting vision. When the pterygium does not respond to clinical treatment, and the patient has many symptoms, surgery is indicated.