Post on 05-Jan-2016
description
ARAVIND EYE CARE SYSTEMAravind Eye Hospital
& Postgraduate Institute of Ophthalmology
ARAVIND EYE CARE SYSTEMAravind Eye Hospital
& Postgraduate Institute of Ophthalmology
DEPARTMENT OF COUNSELLINGDEPARTMENT OF COUNSELLING
PterygiumPterygium
This is a fleshy growth on the white of the This is a fleshy growth on the white of the eye (conjuntiva) on either side of the eye (conjuntiva) on either side of the corneacornea
It occurs in people exposed to excess wind, It occurs in people exposed to excess wind, heat sun and dust and can grow over the heat sun and dust and can grow over the corneacornea
In addition to being cosmetically In addition to being cosmetically disfiguring. It can cause pain redness and disfiguring. It can cause pain redness and discomfortdiscomfort
What is Pterygium?What is Pterygium?
Nasal Pterygium
Types of PterygiumTypes of Pterygium Nasal PterygiumNasal Pterygium Temporal PterygiumTemporal Pterygium Double PterygiumDouble Pterygium
Nasal Pterygium:The fleshy growth on the conjunctiva on Nasal side is called Nasal Pterygium
Temporal Pterygium:The fleshy growth on the conjunctiva on Temporal side is called Temporal Pterygium
Double Pterygium:The fleshy growth on the conjunctiva on Nasal and Temporal side is called Double Pterygium
All of the Pterygium patients does not require All of the Pterygium patients does not require surgerysurgery
Starting stage Pterygium patients are given Starting stage Pterygium patients are given lubricating dropslubricating drops
Three types of Pterygium surgeries are Three types of Pterygium surgeries are availableavailable Plain Pterygium (Pterygium excision)Plain Pterygium (Pterygium excision) Pterygium excision with MMCPterygium excision with MMC Pterygium excision with MMC with clagPterygium excision with MMC with clag Pterygium with AMGPterygium with AMG
TreatmentTreatment
Pterytgium ExcisionPterytgium Excision: (Plain Pterygium): (Plain Pterygium)
The Pterygium (the fleshy growth) is The Pterygium (the fleshy growth) is removed from the eyeremoved from the eye
Pterygium excision with MMCPterygium excision with MMC:: Pterygium is removed and replaced with Pterygium is removed and replaced with
mitamycine gel mitamycine gel It reduces the regrowth of the pterygiumIt reduces the regrowth of the pterygium
Cont…. Cont….
Pterygium Excision with MMC with clag:Pterygium Excision with MMC with clag: Pterygium is removed and midamycine is Pterygium is removed and midamycine is
placed in conjunctival auto graftplaced in conjunctival auto graft This reduces the regrowth of PterygiumThis reduces the regrowth of Pterygium This is of two typesThis is of two types
1.1. Suture methodSuture method
2.2. Glue methodGlue method
Conjunctival auto graft placed in the Conjunctival auto graft placed in the suturessutures
Suture methodSuture method
In this method the gel used is Fibirin gelIn this method the gel used is Fibirin gel It is placed on the conjunctival autograft It is placed on the conjunctival autograft
without sutureswithout sutures It is used because of the reduced regrowth It is used because of the reduced regrowth
of the Pterygium and reduced irritation of of the Pterygium and reduced irritation of the eyethe eye
Glue method (Fibirin glue)Glue method (Fibirin glue)
Pterygium is removed and the aminotic Pterygium is removed and the aminotic membrane is placed in itmembrane is placed in it
Pterygium excision with AMGPterygium excision with AMG
Role of the counsellorRole of the counsellor It should be stressed that permanent vision loss It should be stressed that permanent vision loss
may occur if it grows very large over the cornea may occur if it grows very large over the cornea even if surgery is done at this stageeven if surgery is done at this stage
The only permanent treatment is surgery ideally The only permanent treatment is surgery ideally with an auto from the same eyewith an auto from the same eye
Topical medication only can temporarily allay the Topical medication only can temporarily allay the symptomssymptoms
Cont….Cont….
Wearing the sun glass would help mitigate Wearing the sun glass would help mitigate the growth in the eye if the growth is very the growth in the eye if the growth is very smallsmall
And also giving the post operative instructionsAnd also giving the post operative instructions Don’t take head bathDon’t take head bath Don’t rub your eyesDon’t rub your eyes Irritation is there, so don’t worryIrritation is there, so don’t worry Importance of correct method of using eye Importance of correct method of using eye
dropsdrops To come for regular follow upTo come for regular follow up