Daily Bolus of LR: Pterygium

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June 22, 2011 by dailybolusoflr

Let’s try this one again!

Pterygium

· Is a thickening of the bulbar conjunctiva that grows across the outer surface of the cornea

· Is normally triangular in appearance

· Grows slowly

· Is more often seen in patients who live in hot climates or work outdoors

· Is usually is whitish in color, but can take on a pinkish color

· Is painless, but can present with a foreign body sensation

· There is no need for ophthalmological evaluation urgently, but patients who present with extension into their visual field should be referred for possible excision

· If patients complain of dry, irritated eyes – you can prescribe artificial tears

The following pterygium would need to be referred for surgical excision

http://www.tedmontgomery.com/the_eye/eyephotos/Pterygium.html

Note: these often recur


Linda Regan, MD FACEP
Program Director, Emergency Medicine Residency
Johns Hopkins Medical Institutions

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