General Information

DEFINITION--Removal of a pterygium, an abnormal tissue that grows from the edge of the eye and extends to attach to the cornea.

BODY PARTS INVOLVED--Eye; cornea; membrane lining eyelid (conjunctiva).

REASONS FOR SURGERY

• Restoration of normal vision.
• Improved appearance.

SURGICAL RISK INCREASES WITH--None expected.

What To Expect

WHO OPERATES--Ophthalmologist.

WHERE PERFORMED--Hospital or outpatient surgical facility.

DIAGNOSTIC TESTS

• Before surgery: Blood and urine studies; complete eye examination.
• After surgery: Complete eye examination.

ANESTHESIA

• Local anesthesia by topical application.
• Local anesthesia by injection.

DESCRIPTION OF OPERATION

• An incision is made in the cornea around the pterygium.
• The pterygium is cut and brought upward, clear of the cornea.
• The lower edge of the pterygium is cut free and the entire pterygium is removed.
• Open areas in the membrane covering the eye are closed with fine sutures, which usually can be removed about 1 week after surgery.

POSSIBLE COMPLICATIONS

• Surgical-wound infection.
• Recurrence of the pterygium.

AVERAGE HOSPITAL STAY--0 to 1 day.

PROBABLE OUTCOME--Expect complete healing without complications. Allow about 3 weeks for recovery from surgery.

Postoperative Care

GENERAL MEASURES---Beginning 24 hours after surgery, apply warm compresses to the eye to relieve discomfort. Do this for 10 to 15 minutes each hour as long as discomfort continues.

> You may use non--prescription drugs, such as acetaminophen, to relieve minor pain.

> To help recovery and aid your well--

being, resume daily activities, including work, as soon as you are able.

• Avoid vigorous exercise for 3 weeks after surgery. > Wear sunglasses when outside. > Resume driving about 1 week after returning home.

DIET---No special diet.

Call Your Doctor If

> Pain, swelling, redness, drainage or bleeding increases in the surgical area.