What is pterygium?

A pterygium is a triangular thickening of the conjunctiva (the layer of transparent skin on the white of the eye) which extends on to the outer edge of the cornea (the transparent window at the front of the eye). If the cornea is imagined as a clock face, a pterygium normally occurs at the three and nine o’clock positions, more usually on the nasal side. A pterygium may grow over the corneal surface. Because of tissue shrinkage, it can put tension on the cornea, causing astigmatism (loss of spherical curvature) and reducing the sharpness of vision. Patients may complain of irritation of the affected eye and they may be concerned about the cosmetic appearance.

Pterygium is caused by long-standing exposure of the eyes to ultra-violet (UV) light, dust and wind. Because of this, it is commoner near the equator, where UV levels are higher, than in temperate parts of the world.

How is pterygium managed?

Having carefully examined the affected eye(s) the optometrist will record the dimensions of the pterygium for future comparison. Artificial tears and lubricating ointment may be enough to control the irritation of the eyes. If the pterygium is inflamed, a short course of steroid eye drops may be prescribed. If the pterygium continues to grow towards the middle of the cornea, threatening the vision of the eye, or if inflammation cannot be controlled, the patient will be referred to the ophthalmologist. Various different surgical techniques are available if the pterygium needs to be removed.