EyeRounds Online Atlas of Ophthalmology

Contributor:
William Charles Caccamise Sr,MD, Retired Clinical Prof of Ophthalmology-U of Rochester School of Medicine and Dentistry

Category: Cornea
Diagnosis: pterygium - active - OD

Image Comments:

The surgeon's success rate with his pterygium operations will be in direct proportion to the number of inactive pterygia in his caseload. It is the active pterygium that has the greater potential for nasty recurrence(s).In private practice, Dr. Caccamise examined a patient who had had 7 operations for the same pterygium. From Fuchs's Textbook of Ophthalmology: The existence of a progressive or a stationary pterygium is determined mainly by the character of the apex of the growth. In the former : the apex appears surrounded by a gray non-vascular zone which looks thick and gelatinous. In the latter: this marginal zone is thin and cicatricial looking and the whole pterygium is thin, pale, nearly destitute of vessels, and tendinous.

 

 

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