Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jul;118(7):749-763.
doi: 10.1007/s00347-021-01366-9. Epub 2021 Mar 29.

[Pterygium: pathogenesis, diagnosis and treatment]

[Article in German]
Alexander C Rokohl  1 , Ludwig M Heindl  2 , Claus Cursiefen  2   3
Affiliations

[Pterygium: pathogenesis, diagnosis and treatment]

[Article in German]
Alexander C Rokohl et al. Ophthalmologe. 2021 Jul.

Erratum in

Abstract
in English, German

The pterygium is a frequent ultraviolet (UV) light-induced focal fibrovascular proliferation of the conjunctival tissue onto the cornea. Surgical excision should be performed in the case of reduced visual acuity, progressive astigmatism, impending invasion of the optical axis and ocular surface complaints. The main factors in preventing recurrence include optimal surgical treatment by an excision combined with a free conjunctival autograft, consistent postoperative treatment with preservative-free artificial tears and topical steroids as well as long-term UV protection.

Das Pterygium ist eine häufige, durch Ultraviolett(UV)-Licht induzierte, fokale fibrovaskuläre Proliferation konjunktivalen Gewebes auf die Hornhaut. Bei Visusminderung, fortschreitender Astigmatismusbildung, drohender Invasion in die optische Achse sowie bei Oberflächenbeschwerden sollte eine chirurgische Exzision angestrebt werden. Die Hauptfaktoren der Rezidivprophylaxe umfassen die optimale chirurgische Therapie durch eine Exzision mit Deckung durch eine freies Bindehauttransplantat, eine konsequente postoperative Therapie mit konservierungsmittelfreien Tränenersatzmitteln und topischen Steroiden sowie eine langfristige UV-Protektion.

Keywords: Autografts; Conjunctiva; Cornea; Mitomycin; Ultraviolet rays.

PubMed Disclaimer

Comment in

  • [The pinguecula as a pre-pterygium].
    Rohrbach JM. Rohrbach JM. Ophthalmologe. 2021 Nov;118(11):1161-1162. doi: 10.1007/s00347-021-01500-7. Epub 2021 Sep 20. Ophthalmologe. 2021. PMID: 34542694 German. No abstract available.

References

Literatur

    1. Droutsas K, Sekundo W (2010) Epidemiology of pterygium. A review. Ophthalmologe 107(6):511–516. https://doi.org/10.1007/s00347-009-2101-3 - DOI - PubMed
    1. Bradley JC, Yang W, Bradley RH et al (2010) The science of pterygia. Br J Ophthalmol 94(7):815–820. https://doi.org/10.1136/bjo.2008.151852 - DOI - PubMed
    1. Chui J, Di Girolamo N, Wakefield D et al (2008) The pathogenesis of pterygium: current concepts and their therapeutic implications. Ocul Surf 6(1):24–43. https://doi.org/10.1016/s1542-0124(12)70103-9 - DOI - PubMed
    1. Heindl LM, Cursiefen C (2010) Pterygium. Etiology, clinical aspects and novel adjuvant therapies. Ophthalmologe 107(6):517–524. https://doi.org/10.1007/s00347-009-2100-4 - DOI - PubMed
    1. Sekundo W (2010) Pterygium. Ophthalmologe 107(6):509–510. https://doi.org/10.1007/s00347-009-2098-7 - DOI - PubMed

LinkOut - more resources