Introduction: Pterygium excision is a commonly preformed procedure, with known and established complications. Acute angle closure is not a reported complication following routine pterygium extraction. We report a patient who had routine pterygium excision, and subsequently developed an angle closure attack. Case Description: A 56-year-old female presented to the ophthalmology clinic with a pter...

The first reports about pterygium date back to Hippocrates, and this disease still threatens vision health around the world. Pterygium is a formation of fibrous tissue consisting of highly vascularized epithelial and subepithelial tissue that grows excessively and with an abnormal shape on the cornea. Many physical and biological factors are associated with the pathogenesis of pterygium, includ...

–Pterygium is a fibrovascular proliferation of conjunctiva onto the cornea which leads to considerable visual impairment due to corneal astigmatism. Surgical excision is the only treatment; however recurrence continues to be a complication. Therefore, ant metabolites like Mitomycin C & 5Fluorouracil have been used as chemoadjuvant to reduce it. Present study was carried out to evaluate the effi...

PURPOSE To compare the clinical outcome of pterygium surgery combining intraoperative mitomycin C (MMC) with a free conjunctival autograft, with three other methods of pterygium surgery, including intraoperative MMC alone, conjunctival autograft alone, and bare sclera without adjunctive treatment. DESIGN Interventional, randomized and in part nonrandomized, prospective, comparative study. M...

PURPOSE To investigate changes in the oxidant-antioxidant system in pterygium tissue. METHODS Tissue samples ablated from 40 patients during pterygium surgery constituted the study material, while normal nasal conjunctiva tissue samples from 20 patients matched for age group (who had undergone surgery for strabismus or extracapsular cataract surgery) were used as controls. The samples were ke...

AIM This study aims to determine the effect of pterygium excision on the degree of corneal induced astigmatism and visual acuity. PATIENTS AND METHODS This was a prospective interventional study conducted between September 2012 and June 2013. Consecutive patients with pterygium who met the inclusion criteria were recruited into the study. They had a basic eye examination, and those with exist...

BACKGROUND Sun exposure is associated with several ophthalmic diseases, including pterygium which may develop in adolescence. This study reports the prevalence of pterygium and its associations in a large cohort of young Australian adults. Conjunctival ultraviolet autofluorescence, a biomarker of ocular sun exposure, has recently been characterized in some Australian populations. DESIGN Cross...

OBJECTIVE To compare the recurrence of pterygium between free conjunctival auto-graft and conjunctival rotation flap following simple surgical excision of pterygium. STUDY DESIGN Quasi-experimental study. PLACE AND DURATION OF STUDY Shifa Foundation Community Health Clinic, Shifa College of Medicine, Islamabad, from January to November 2012. METHODOLOGY Fifty seven cases aged above 18 yea...

PURPOSE Pterygia are a proliferative and inflammatory growth of limbal epithelial stem cell origin, characterized by corneal tissue invasion and extensive matrix remodeling including the destruction of Bowman's layer (BL). The purpose of this study was to determine the expression of matrix metalloproteinases (MMPs) and tissue inhibitors of MMPs (TIMPs) at the advancing pterygium edge. METHODS...

I enjoyed reading the article by Malik et al titled ‘Efficacy of sutureless and glue-free limbal conjunctival auto-graft for primary pterygium surgery’ published in the Nepalese Journal of Ophthalmology (Malik et al, 2012). The authors highlighted an important technique of primary pterygium surgery without application of sutures or bio-fibrin glue. This is, of course, a very challenging procedu...