Pterygium

Presented by: Izalyn N. Irasusta

MSNAHN
Demographic Data

Name: MG.D
Age: 30 y/o
Gender: Female
Occupation: Saleslady
Nationality: Filipino
Chief Complain

Noticeable changes of
shape on both eyes and
intermittent redness on
both eyes
2012 – sore eyes
- No consultation done
History
of
2012 – noticeable changes on left eye
-Consulted an eye clinic at Q.Ave area
-Unrecalled eyedrop given, but patient
didn’t finished treatment
Present
2016 – noticeable changes on right eye
- No consultation done
Illness
2018 (unrecalled month)
-Redness noted on both eyes, more prominent
in left eye
- No consultation done

May 2018
-Stabbing pain 5-6/10 upon waking up at right eye
-Resolved on its own
June 27, 2018
-Seeked consultation at History
UERM Optha OPD
-Diagnosed with Pterygium of
July 4, 2018 Present
- Undergone excision of pterygium left eye

July 6, 2018
Illness
-Noted stabbing pain at left eye
-Relieved by Mefenamic Acid

July 11, 2018

- Follow-up check up done
Past Medical History Family Health History

 No history of  (+) hypertension – father

hospitalization side
 (-) smoking
 (+) occassional drinker
Physical Examination
 Vital Signs:
 BP: 110/70mmhg HR: 76bpm
 RR: 19bpm

 General: conscious, alert, conversant, coherent and not in distress

OD OS
Visual Acuity 20/20 SC 20/20 -1 SC
20/20 CCPH
Near Acuity J1+ J1+
Eyelids (-) ptosis (-) ptosis

Eyebrow Symmetrical symmetrical

Eyelashes (-) matting (-) matting
Palpebral Conjunctiva Pink Pink
Physical Examination
OD OS
Sclerae Anicteric Anicteric
Bulbar Conjunctiva (+) pterygium (+) pterygium
medial nasal medial nasal
Anterior Chamber Deep Deep
Pupils 4mm 4mm
Reactive to light Reactive to light
Lens Clear Clear
Tonometry Firm Firm
Eye Ocular Muscle Full Full
Anatomy
The Normal Eye
Impression

Pterygium
 Predisposing Factor Precipitating Factor
- Age (30 y/o) - Tropical Climate

Elastotic degeneration of collagen Fibrovascular proliferation with an

overlying covering of epithelium

Reddish sclera
Elevated superficial external ocular mass over
perilimbal conjuctiva, extending onto corneal surface

Pterygium

pinkish, triangular tissue growth on the cornea of the eye

Both eyes nasal side.

Excision of pterygium
Treatment
 Excision of Pterygium - left
 Maxitrol eye drop
 Mefenamic Acid
Case Management
 Encourage to wear sunglasses with ultraviolet-blocking
coatings
 Advised to wear hat or cap with a brim
 Advised to observe progression of right eye and
recurrence on the left eye