Pterygium Evaluation & Surgical Care

A pterygium is a benign growth of fibrovascular tissue that develops on the conjunctiva — the clear membrane covering the white of the eye — and may extend onto the cornea. It is often associated with prolonged exposure to ultraviolet light, wind, and dust, which is why it is sometimes called “surfer's eye.”

Pterygium may cause:

• ·Redness and irritation
• ·A foreign-body sensation
• ·Cosmetic concern
• ·Astigmatism and changes in vision as the growth extends onto the cornea
• ·Discomfort when wearing contact lenses

Some pterygia remain stable for years; others grow progressively.

When a pterygium extends significantly onto the cornea, it can distort the corneal surface, induce or worsen astigmatism, and affect visual acuity. The extent of corneal involvement is an important factor in determining management.

For patients with mild symptoms, medical management — including lubricating eye drops and sun protection, such as UV-blocking sunglasses — may be appropriate. We monitor pterygium growth over time and adjust management as needed.

Surgical removal may be considered when a pterygium is growing, causing significant symptoms, affecting vision, or creating cosmetic concern. Surgery is performed by affiliated surgeons. We coordinate surgical referral when appropriate and provide postoperative co-management.

A pterygium can come back after removal, so careful follow-up and continued sun protection remain important.