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Pterygium

Overview
Causes
Symptoms
Prevention
Treatment Options
Where to Seek Treatment
Singapore National Eye Centre
Contributed by Corneal & External Eye Disease Service

PTERYGIUM

A reddish eye growth that is mostly harmless, pterygium is nevertheless unsightly and can obscure vision.
 

What is a Pterygium?
 

A pterygium is a fleshy, triangular or wing-shaped growth of the eye. It usually occurs on the inner corner of the eye, but can also appear on the outer corner.
 
          
                   Pterygium
 
It is a slow-growing, benign lesion, and is mostly harmless. However, a pterygium may sometimes grow over the cornea, and in rare cases, it can grow large enough to cover the central cornea and affect vision.
 
(Plural for pterygium is ‘pterygia’)
 

What causes Pterygium?
 

The exact cause of pterygium is still not known, and is thought to be due to multiple factors interacting together. However, ultraviolet (UV) light from the sun has been proven to be the most likely contributing factor. Exposure to long-hours of sunlight outdoors and in dry, dusty conditions seems to play an important role.
 

How do I know if I have a Pterygium?
 

Symptoms include:
 

• A whitish growth with prominent blood vessels on the inner and/or outer corners of the eye
• One can get pterygium in one or both eyes
• redness over the affected area
• irritation
• dry eye symptoms
• occasional tearing
• foreign body sensation
• blurring of vision (in advanced cases when growth is over the central cornea or when it causes 
  astigmatism due to the stress forces it exerts on the cornea surface)
 

What can I do to prevent Pterygium growth?
 

You should use protective sunglasses with ultraviolet ray protection when outdoors or driving, and headgear with brims when exposed to very strong sun-light.
 

What kinds of treatments are available for Pterygia?
 

In very early cases, when there are no symptoms and when the pterygium is not cosmetically significant, it can be left alone.
 
When the pterygium causes irritation, redness or discomfort, artificial tears can help moisturise the eye and relieve the discomfort. Eye-drops, however, will not affect the growth of the pterygium.
 
When the pterygium is cosmetically obvious, or is causing symptoms including blurring of vision, surgical removal is recommended.
 
The surgery involves removing the fleshy growth, as well as, transplanting a translucent patch called the conjunctiva over the surgical site, to reduce the risk of the pterygium growing back again (recurrence). This patch of conjunctiva is usually from one’s own eye (conjunctival auto-graft). Attachment of the auto-graft can be with sutures or ‘suture-less’ (i.e. with use of fibrin glue). The risk of pterygium recurrence following surgical removal and conjunctival auto-graft is low. 

SNEC researches and publishes extensively on Pterygium. Please click here for the list of publications related to Pterygium.
 
Please visit the following relevant links :-

Corneal & External Eye Disease Service
Outcome Results on Corneal & External Eye Disease Procedures
Corneal & External Eye Disease Clinical Staff
I Want an Eye Examination / an Appointment
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Need indepth information ?

Access our Conditions & Treatments sections for related topics on Astigmatism.




Where to Seek Treatment

The medical institutions within SingHealth that offer consultation and treatment for this condition include:

1. Singapore National Eye Centre
Corneal & External Eye Disease Service
11 Third Hospital Avenue, Singapore 168751

Appointments Hotline:
Tel : +65 6227 7266

International Enquiries, please contact:
Tel : +65 6100 9393
Email : ips@snec.com.sg
2. KK Women's and Children's Hospital
Children's - KK Eye Centre
100 Bukit Timah Road Singapore 229899

Appointments Hotline:
Tel : +65 6294 4050

International Enquiries, please contact:
Tel : +65 6394 8888
Email : international@kkh.com.sg


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