ARAVIND EYE CARE SYSTEMAravind Eye Hospital

& Postgraduate Institute of Ophthalmology

ARAVIND EYE CARE SYSTEMAravind Eye Hospital

& Postgraduate Institute of Ophthalmology

DEPARTMENT OF COUNSELLINGDEPARTMENT OF COUNSELLING

PterygiumPterygium

This is a fleshy growth on the white of the This is a fleshy growth on the white of the eye (conjuntiva) on either side of the eye (conjuntiva) on either side of the corneacornea

It occurs in people exposed to excess wind, It occurs in people exposed to excess wind, heat sun and dust and can grow over the heat sun and dust and can grow over the corneacornea

In addition to being cosmetically In addition to being cosmetically disfiguring. It can cause pain redness and disfiguring. It can cause pain redness and discomfortdiscomfort

What is Pterygium?What is Pterygium?

Nasal Pterygium

Types of PterygiumTypes of Pterygium Nasal PterygiumNasal Pterygium Temporal PterygiumTemporal Pterygium Double PterygiumDouble Pterygium

Nasal Pterygium:The fleshy growth on the conjunctiva on Nasal side is called Nasal Pterygium

Temporal Pterygium:The fleshy growth on the conjunctiva on Temporal side is called Temporal Pterygium

Double Pterygium:The fleshy growth on the conjunctiva on Nasal and Temporal side is called Double Pterygium

All of the Pterygium patients does not require All of the Pterygium patients does not require surgerysurgery

Starting stage Pterygium patients are given Starting stage Pterygium patients are given lubricating dropslubricating drops

Three types of Pterygium surgeries are Three types of Pterygium surgeries are availableavailable Plain Pterygium (Pterygium excision)Plain Pterygium (Pterygium excision) Pterygium excision with MMCPterygium excision with MMC Pterygium excision with MMC with clagPterygium excision with MMC with clag Pterygium with AMGPterygium with AMG

TreatmentTreatment

Pterytgium ExcisionPterytgium Excision: (Plain Pterygium): (Plain Pterygium)

The Pterygium (the fleshy growth) is The Pterygium (the fleshy growth) is removed from the eyeremoved from the eye

Pterygium excision with MMCPterygium excision with MMC:: Pterygium is removed and replaced with Pterygium is removed and replaced with

mitamycine gel mitamycine gel It reduces the regrowth of the pterygiumIt reduces the regrowth of the pterygium

Cont…. Cont….

Pterygium Excision with MMC with clag:Pterygium Excision with MMC with clag: Pterygium is removed and midamycine is Pterygium is removed and midamycine is

placed in conjunctival auto graftplaced in conjunctival auto graft This reduces the regrowth of PterygiumThis reduces the regrowth of Pterygium This is of two typesThis is of two types

1.1. Suture methodSuture method

2.2. Glue methodGlue method

Conjunctival auto graft placed in the Conjunctival auto graft placed in the suturessutures

Suture methodSuture method

In this method the gel used is Fibirin gelIn this method the gel used is Fibirin gel It is placed on the conjunctival autograft It is placed on the conjunctival autograft

without sutureswithout sutures It is used because of the reduced regrowth It is used because of the reduced regrowth

of the Pterygium and reduced irritation of of the Pterygium and reduced irritation of the eyethe eye

Glue method (Fibirin glue)Glue method (Fibirin glue)

Pterygium is removed and the aminotic Pterygium is removed and the aminotic membrane is placed in itmembrane is placed in it

Pterygium excision with AMGPterygium excision with AMG

Role of the counsellorRole of the counsellor It should be stressed that permanent vision loss It should be stressed that permanent vision loss

may occur if it grows very large over the cornea may occur if it grows very large over the cornea even if surgery is done at this stageeven if surgery is done at this stage

The only permanent treatment is surgery ideally The only permanent treatment is surgery ideally with an auto from the same eyewith an auto from the same eye

Topical medication only can temporarily allay the Topical medication only can temporarily allay the symptomssymptoms

Cont….Cont….

Wearing the sun glass would help mitigate Wearing the sun glass would help mitigate the growth in the eye if the growth is very the growth in the eye if the growth is very smallsmall

And also giving the post operative instructionsAnd also giving the post operative instructions Don’t take head bathDon’t take head bath Don’t rub your eyesDon’t rub your eyes Irritation is there, so don’t worryIrritation is there, so don’t worry Importance of correct method of using eye Importance of correct method of using eye

dropsdrops To come for regular follow upTo come for regular follow up