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PTERYGIUM

This document discusses pterygium, pseudopterygium, and pinguecula. Pterygium is a degenerative condition where fibrovascular tissue grows over the cornea from the conjunctiva. Pseudopterygium is an inflammatory condition caused by corneal damage that results in conjunctival adhesions to the cornea but is non-progressive. Pinguecula is a yellowish patch on the conjunctiva near the limbus that resembles fat and is a precursor to pterygium. The document provides details on the differences between pterygium and pseudopterygium in terms of etiology, location, stages, probe test results, appearance on AS-OCT, and histology.

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Kinshuk Dhaliwal
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134 views11 pages

PTERYGIUM

This document discusses pterygium, pseudopterygium, and pinguecula. Pterygium is a degenerative condition where fibrovascular tissue grows over the cornea from the conjunctiva. Pseudopterygium is an inflammatory condition caused by corneal damage that results in conjunctival adhesions to the cornea but is non-progressive. Pinguecula is a yellowish patch on the conjunctiva near the limbus that resembles fat and is a precursor to pterygium. The document provides details on the differences between pterygium and pseudopterygium in terms of etiology, location, stages, probe test results, appearance on AS-OCT, and histology.

Uploaded by

Kinshuk Dhaliwal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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PTERYGIUM

KINSHUK DHALIWAL 200201236

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DIFFERENTIAL DIAGNOSES

Pseudopter
Pinguecula
ygium
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PSEUDOPTERYGIUM
• Fold of bulbar conjunctiva attached to cornea
• Adhesions of chemosed conjunctiva to marginal corneal ulcer and the adjacent lid
• Induced by cicatrizing conjunctival inflammatory overgrowth produced by
trauma, thermochemical burn or chronic conjunctivitis
• Non-progressive
• Location at any quadrant of limbus

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Pterygium Pseudopterygium

Inflammatory (secondary to corneal


Aetiology Degenerative
damage)

Age Usually elderly Any age

Location Nasal or temporal limbus Any site

Progressive (usually)/Stationary/
Stages Stationary
Regressive

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Pterygium Pseudopterygium

Cannot be passed underneath Probe can be passed under the neck


Probe test
(Negative) (Positive)

Form Head pointed and well-defined Anterior portion broad and flat

AS-OCT Pseudoline of cleavage Real plane of cleavage

Elastotic degeneration intermingled Fibrovascular tissue without foci of


Histology
with epithelium and stroma elastotic degeneration

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Figure 1. Differential features of pterygium and Pseudopterygium in slit-lamp and AS-OCT examination (A) Pterygium in slit-lamp (arrow); (B)
Pseudopterygium in slit-lamp (arrow); (C) pterygium in OCT (no plane of cleavage between the lesion and corneal epithelium); (D)
Pseudopterygium in AS-OCT in a horizontal scan. Notice (arrow) an overgrowing membrane that is not attached to the underlying cornea and
there is a real plane of cleavage between it and the corneal epithelium. AS = Anterior segment.
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PINGUECULA
• Yellowish triangular patch on bulbar conjunctiva near limbus, resembles fat
• Precursor of pterygium
• Due to hyaline infiltration and elastotic degeneration of the submucous tissue
• Apex is away from the cornea, affects nasal side first
• Avascular
• Stationary
• No treatment required

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BIBLIOGRAPHY
Sihota, R., & Tandon, R. (2020). Parson's Diseases of the Eye (23 ed.). New Delhi: RELX India Pvt. Ltd. Retrieved
February 3, 2023

Khurana, A. K. (2022). Comprehensive Ophthalmology (8 ed.). New Delhi: Jaypee Brothers Medical Publishers (P)
Ltd. Retrieved February 3, 2022

Urbinati, Facundo, Davide Borroni, Marina Rodríguez-Calvo-de-Mora, José-María Sánchez-González, María


García-Lorente, Francisco Zamorano-Martín, Rahul Rachwani-Anil, Santiago Ortiz-Pérez, Vito Romano, and Carlos
Rocha-de-Lossada. 2022. "Pseudopterygium: An Algorithm Approach Based on the Current
Evidence" Diagnostics 12, no. 8: 1843. https://doi.org/10.3390/diagnostics12081843
THANK
YOU

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