Case 56 || Solution ||
The answer to the given question is "Pterygium"
⏩It is a subconjunctival fibrovascular tissue approaching the cornea
⏩2 theories:
✅Connective Tissue disorder OR
✅Type of conjunctival degeneration
⏩Mainly seen in Tropical countries
⏩Etiology: Due to UV rays exposure (M/C UV B rays)
⏩Clinical Features: [Most common nasally]
✅Cosmetic issue (Main problem)
✅May lead to astigmatism
✅Marked Diminution of vision [If it reaches pupillary region can cause]
⏩ How to know Pterygium is progressive or not?
✅On examination under the slit lamp, if we can see inflammatory infiltrates infront of Pterygium, then it is progressive
⏩T/t: Excision of tissue leaving only a bare sclera [BARE SCLERA TECHNIQUE]
⏩Biggest challenge: Recurrence
⏩To prevent recurrence: [2 measures]
✅Give Mitomycin - c
✅Autografting [Best method]
The answer to the given question is "Pterygium"
⏩It is a subconjunctival fibrovascular tissue approaching the cornea
⏩2 theories:
✅Connective Tissue disorder OR
✅Type of conjunctival degeneration
⏩Mainly seen in Tropical countries
⏩Etiology: Due to UV rays exposure (M/C UV B rays)
⏩Clinical Features: [Most common nasally]
✅Cosmetic issue (Main problem)
✅May lead to astigmatism
✅Marked Diminution of vision [If it reaches pupillary region can cause]
⏩ How to know Pterygium is progressive or not?
✅On examination under the slit lamp, if we can see inflammatory infiltrates infront of Pterygium, then it is progressive
⏩T/t: Excision of tissue leaving only a bare sclera [BARE SCLERA TECHNIQUE]
⏩Biggest challenge: Recurrence
⏩To prevent recurrence: [2 measures]
✅Give Mitomycin - c
✅Autografting [Best method]