Understanding Pterygium Surgery: What You Need to Know

Pterygium surgery is a medical procedure designed to remove a noncancerous growth called a pterygium from the eye. This condition, often referred to as “surfer’s eye,” typically develops due to prolonged exposure to ultraviolet (UV) light, wind, dust, and other environmental factors. Here, we will explore what pterygium surgery entails, the benefits, and what patients can expect before, during, and after the procedure.

What is a Pterygium?

A pterygium is a benign growth of the conjunctiva, the clear tissue covering the white part of the eye and the inside of the eyelids. It typically starts on the cornea, the clear front window of the eye, and can extend to the iris and pupil. While small pterygia may not cause significant symptoms, larger ones can lead to discomfort, redness, and vision problems.

When is Pterygium Surgery Necessary?

Pterygium surgery is recommended when:

• The pterygium causes persistent discomfort, redness, or irritation.
• It interferes with vision by growing over the cornea.
• Conservative treatments, such as lubricating eye drops or anti-inflammatory medications, have not provided relief.

The Pterygium Surgery Procedure

1. Preoperative Preparation: Before the surgery, the ophthalmologist will conduct a comprehensive eye examination and discuss the patient’s medical history. Patients may be advised to stop wearing contact lenses and certain medications prior to the surgery.

2. During the Surgery: Pterygium surgery is typically performed under local anesthesia with sedation to ensure the patient’s comfort. The procedure involves:

   • Removal: The surgeon carefully removes the pterygium from the eye.
   • Grafting: To prevent recurrence, a conjunctival autograft is often placed over the affected area. This involves taking a piece of healthy conjunctival tissue from another part of the eye and securing it in place with stitches or tissue adhesive.

3. Postoperative Care: After the surgery, the patient will be given specific instructions to ensure proper healing. This may include:

   • Using prescribed eye drops to reduce inflammation and prevent infection.
   • Avoiding activities that can irritate the eye, such as swimming or exposure to dust and wind.
   • Wearing sunglasses to protect the eyes from UV light.

Benefits of Pterygium Surgery

• Improved Vision: Removing the pterygium can significantly enhance vision if the growth was obstructing the cornea.
• Aesthetic Improvement: The surgery can restore a more natural appearance to the eye, reducing redness and abnormal growth.
• Reduced Discomfort: Patients often experience relief from chronic irritation, dryness, and discomfort after the procedure.

What to Expect After Surgery

Recovery from pterygium surgery usually takes a few weeks. During this period, patients might experience mild discomfort, redness, and swelling, which can be managed with medications. Follow-up visits with the ophthalmologist are crucial to monitor healing and detect any potential complications early.

Preventing Recurrence

While pterygium surgery is generally effective, recurrence can occur in some cases. To minimize this risk, patients are advised to:

• Wear Protective Eyewear: Sunglasses with UV protection can shield the eyes from harmful UV rays and environmental irritants.
• Use Artificial Tears: Regular use of lubricating eye drops can keep the eyes moist and reduce irritation.
• Avoid Environmental Triggers: Limiting exposure to dust, wind, and harsh sunlight can help prevent recurrence.

Conclusion

Pterygium surgery is a highly effective procedure for removing bothersome eye growths and restoring comfort and vision. If you are experiencing symptoms of pterygium and conservative treatments have not provided relief, consult with an experienced ophthalmic surgeon to explore your surgical options. Proper postoperative care and preventive measures can help ensure the best possible outcome and reduce the risk of recurrence.

For more detailed information schedule a consultation.