Pseudopterygium

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Pseudopterygium
Pseudopterygium is seen arrow (and calcified plaque)
SpecialtyOphthalmology
CausesPost inflammatory
Diagnostic methodEye examination
Differential diagnosisPterygium
TreatmentSurgery

Pseudopterygium is the conjunctival adhesion to cornea caused by limbal or corneal inflammation or trauma. The pseudopterygium can be easily distinguished from pterygium by bowman's probe test.[1] Because of the lack of adherence of pseudopterygium at every point, the probe can be passed beneath it at some point.

Signs and symptoms

The presentation is clinging of conjunctiva to the peripheral cornea[2]

Causes

Diagnosis

Differential diagnosis

Difference between pterygium and pseudopterygium
Pterygium Pseudopterygium
Etiology Degenerative process Inflammatory process
Age Common in adults[6] Occur in any age
Site Horizontally, most commonly nasally[5] Anywhere
Status Progressive(commonly) or stationary[6] Always stationary
Neck Adherent to limbus[6] Free
Probe test Probe cannot be passed underneath Probe can be passed under neck

Treatment

Pseudopterygium can be removed by surgical excision.[7]

See also

Reference

  1. Prabhakar, Srinivasapuram Krishnachary (October 2014). "Safety profile and complications of autologous limbal conjunctival transplantation for primary pterygium". Saudi Journal of Ophthalmology. 28 (4): 262–267. doi:10.1016/j.sjopt.2014.03.006. ISSN 1319-4534. PMC 4250486. PMID 25473341.
  2. Urbinati, Facundo; Borroni, Davide; Rodríguez-Calvo-de-Mora, Marina; Sánchez-González, José-María; García-Lorente, María; Zamorano-Martín, Francisco; Rachwani-Anil, Rahul; Ortiz-Pérez, Santiago; Romano, Vito; Rocha-de-Lossada, Carlos (30 July 2022). "Pseudopterygium: An Algorithm Approach Based on the Current Evidence". Diagnostics. 12 (8): 1843. doi:10.3390/diagnostics12081843. Archived from the original on 27 September 2022. Retrieved 5 September 2022.Pseudopterygium is a non-progressive conjunctival adhesion to the peripheral cornea secondary to a corneal-limbus damage. According to the literature, the main etiology is a previous eye trauma
  3. "Pseudopterygium | Columbia Ophthalmology". www.columbiaeye.org. Archived from the original on 2021-02-05. Retrieved 2021-02-23.
  4. 4.0 4.1 4.2 John F, Salmon (13 December 2019). "Conjunctiva". Kanski's clinical ophthalmology : a systematic approach (9th ed.). Elsevier. pp. 198–199. ISBN 978-0-7020-7711-1.
  5. 5.0 5.1 "Volume 6, Chapter 35. Pterygium". www.oculist.net. Archived from the original on 2017-06-07. Retrieved 2021-02-23.
  6. 6.0 6.1 6.2 Khurana, AK (31 August 2015). "Diseases of conjunctiva". Comprehensive ophthalmology (6th ed.). Jaypee Brothers. p. 88. ISBN 978-93-5152-657-5.
  7. HV, Nema; Nithin, Nema (December 2008). Textbook of ophthalmology (5th ed.). Jaypee Brothers. ISBN 978-81-8448-307-9.
Classification