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Pterygium (surfer's eye)

Pterygium conjunctivae · Pterygium (oko surfařů)

What it is

A wedge of fleshy tissue creeping from the white of the eye onto the cornea, driven by sun, wind and dust.

Symptoms & signs

  • Pink fleshy triangle on the inner white of the eye
  • redness and grittiness
  • dry, irritated eye
  • blurred vision if it reaches the centre

🚩 Get help if…

  • see a doctor soon Growth reaching the centre of the cornea or blurring vision
  • see a doctor soon Fast-growing, raised or bleeding growth
  • see a doctor soon Painful red eye
  • see a doctor soon Double vision

Where it strikes

Medical treatment

  • Lubricating drops
  • short steroid drops for flares
  • surgery with conjunctival autograft if it threatens vision
  • mitomycin or antimetabolite to prevent regrowth

Natural & lifestyle

  • UV-blocking sunglasses and hats
  • avoid dust and wind
  • artificial tears

Emerging & experimental

  • Anti-VEGF drops to slow regrowth
  • fibrin-glue grafting

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Castor oil drops — anecdotal anecdotal / traditional
  • Omega-3 for dry eye — mixed trial results in dry eye early / small studies
  • Honey eye drops — anecdotal; risk of infection anecdotal / traditional

ICD codes