Textbook of Pterygium Management

A pterygium is a growth that develops on the conjunctiva or mucous membrane that covers the white part of the eye. It is a benign or noncancerous growth that is often shaped like a wedge. In some cases, a pterygium can extend to the cornea. A pterygium usually doesn?t cause problems or require treatment, but it can be removed if it interferes with vision. The exact cause of pterygium isn?t known but one explanation is that too much exposure to ultraviolet light can lead to these growths (Healthline.com).

This book is a comprehensive guide to the diagnosis and management of pterygium.

Divided into four main sections, the book begins with an introduction to pterygium, and its etiopathogenesis, possible causes and diagnosis.

The following sections explain numerous surgical techniques for its management, covering both traditional and newer procedures; and treatment of recurrent pterygium.

The final section describes challenging situations in the management of pterygium including post surgical complications, and its treatment with co-existing disorders such as cataract, glaucoma, and corneal opacity.

The text is highly illustrated with clinical photographs and is accompanied by an interactive DVD ROM.

Key Points

• Comprehensive guide to the diagnosis and management of pterygium
• Covers both traditional and newer surgical techniques, and recurrent pterygium
• Discusses post surgical complications and treatment with co-existing disorders
• Includes interactive DVD ROM

Section I: Pterygium: The What, Why And When?

• Etiopathogenesis of Pterygium
• Workup of a Case of Pterygium

Section II: Surgical Management of Pterygium

• Pterygium Excision with Conjunctival Autografting Using Glue
• Pterygium Excision with Conjunctival Autograft (Suture Technique)
• Conjunctival Excision and Extended Tenectomy with Conjunctival Autograft for Primary Pterygium
• Pterygium Excision with Inferior Conjunctival Auto grafting
• Pterygium Excision with Narrow-strip Conjunctival Autograft
• Conjunctival Excision with Autograft Using Sandwich Technique
• Pterygium Surgery with Autograft Affixation Using Blood
• Pterygium Excision by Mini-flap Technique
• Conjunctival Excision with Amniotic Membrane Grafting with or without Sutures
• Minor Ipsilateral Simple Limbal Epithelial Transplantation
• Antimetabolites in Pterygium Management
• Antivascular Endothelial Growth Factor Agents
• Adjunctive Therapy in Pterygium Management

Section III: Management of Recurrent Pterygium

• Conjunctival Excision with Limbal Conjunctival Autograft or Amniotic Membrane Grafting, with or without Mitomycin-C in Recurrent Pterygium
• Combined Ipsilateral Autologous Limbus and Homologous Amniotic Membrane Transplantation for Recurrent Symblepharopterygium
• Sealing the Gap for Managing Pterygium

Section IV: Challenging Situations in Pterygium Management

• Double-headed Pterygium: Split Conjunctival Grafts
• Management of Pterygium with Coexisting Cataract
• Management of Corneal Opacity after Pterygium Surgery
• Management of Pterygium with other Coexisting Ocular Surface Conditions
• Pterygium and Glaucoma
• Complications after Pterygium Surgery
• Autologous Advanced Tenon Grafting Combined with Conjunctival Flap for Scleromalacia
• Tectonic Lamellar Graft in Post Pterygium Surgery Corneoscleral Melt

Index

Tushar Agarwal MD
Additional Professor

Shikha Gupta MD
Senior Research Associate

Namrata Sharma MD
Professor

All at Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India