Conjunctiva Flashcards

1
Q

What is Pterygium

A

A triangular fibrovascular subepithelial ingrowth of degenerative bulbar conjunctival tissue over the limbus into the cornea

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2
Q

Histology of Pterygium

A

elastotic degenerative changes in vascularized subepithelial stromal collagen

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3
Q

Pterygium vs Pinguecula

A

Pterygium encroach onto cornea invading Bowman layer

Pseudopterygium- a band of conjunctiva adhering to an area of compromised cornea at its apex

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4
Q

Symptoms of pterygium

A
  • asymptomatic
  • irritations, grittiness, dellen
  • CL - edge lift
  • vision obscured
  • intermittent inflammation
  • cosmetics
  • limited ocular excursion
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5
Q

Signs of pterygium

A
  • cap(avascular halo-like zone at advancing edge), head, body
  • Stocker line
  • Fuchs islets -small discrete whitish flecks consisting of clusters of pterygial epithelial cells often present at the advancing edge
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