2021-07-13 21:05:33
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]
10.8K views18:05
C
