Presentation on theme: "ARAVIND EYE CARE SYSTEM Aravind Eye Hospital & Postgraduate Institute of Ophthalmology ARAVIND EYE CARE SYSTEM Aravind Eye Hospital & Postgraduate Institute."— Presentation transcript:
ARAVIND EYE CARE SYSTEM Aravind Eye Hospital & Postgraduate Institute of Ophthalmology ARAVIND EYE CARE SYSTEM Aravind Eye Hospital & Postgraduate Institute of Ophthalmology DEPARTMENT OF COUNSELLING Pterygium
This is a fleshy growth on the white of the eye (conjuntiva) on either side of the cornea It occurs in people exposed to excess wind, heat sun and dust and can grow over the cornea In addition to being cosmetically disfiguring. It can cause pain redness and discomfort What is 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 surgery Starting stage Pterygium patients are given lubricating drops Three types of Pterygium surgeries are available Plain Pterygium (Pterygium excision) Pterygium excision with MMC Pterygium excision with MMC with clag Pterygium with AMG Treatment
Pterytgium Excision: (Plain Pterygium) The Pterygium (the fleshy growth) is removed from the eye Pterygium excision with MMC: Pterygium is removed and replaced with mitamycine gel It reduces the regrowth of the pterygium Cont…. Cont….
Pterygium Excision with MMC with clag: Pterygium is removed and midamycine is placed in conjunctival auto graft This reduces the regrowth of Pterygium This is of two types 1.Suture method 2.Glue method
Conjunctival auto graft placed in the sutures Suture method
In this method the gel used is Fibirin gel It is placed on the conjunctival autograft without sutures It is used because of the reduced regrowth of the Pterygium and reduced irritation of the eye Glue method (Fibirin glue)
Pterygium is removed and the aminotic membrane is placed in it Pterygium excision with AMG
Role of the counsellor It should be stressed that permanent vision loss may occur if it grows very large over the cornea even if surgery is done at this stage The only permanent treatment is surgery ideally with an auto from the same eye Topical medication only can temporarily allay the symptoms Cont….
Wearing the sun glass would help mitigate the growth in the eye if the growth is very small And also giving the post operative instructions Don’t take head bath Don’t rub your eyes Irritation is there, so don’t worry Importance of correct method of using eye drops To come for regular follow up