Pseudopterygium

Medical condition
Pseudopterygium
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.

Causes

  • Chemical burn[2]
  • Marginal corneal ulcer[3]
  • Cicatrizing conjunctivitis[3]
  • Trauma[3]
  • Surgery[4]

Differential diagnosis

Difference between pterygium and pseudopterygium
Pterygium Pseudopterygium
Etiology Degenerative process Inflammatory process
Age Common in adults[5] Occur in any age
Site Horizontally, most commonly nasally[4] Anywhere
Status Progressive(commonly) or stationary[5] Always stationary
Neck Adherent to limbus[5] Free
Probe test Probe cannot be passed underneath Probe can be passed under neck

Treatment

Pseudopterygium can be removed by surgical excision.[6]

See also

  • Symblepharon
  • Pterygium

References

  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. ^ "Pseudopterygium | Columbia Ophthalmology". www.columbiaeye.org.
  3. ^ a b c 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.
  4. ^ a b "Volume 6, Chapter 35. Pterygium". www.oculist.net.
  5. ^ a b c Khurana, AK (31 August 2015). "Diseases of conjunctiva". Comprehensive ophthalmology (6th ed.). Jaypee Brothers. p. 88. ISBN 978-93-5152-657-5.
  6. ^ HV, Nema; Nithin, Nema (December 2008). Textbook of ophthalmology (5th ed.). Jaypee Brothers. ISBN 978-81-8448-307-9.
Classification
D
  • v
  • t
  • e
  • Diseases of the human eye
Adnexa
Eyelid
Inflammation
Eyelash
Lacrimal apparatus
Orbit
Conjunctiva
Globe
Fibrous tunic
Sclera
Cornea
Vascular tunic
Choroid
Lens
Retina
Other
Optic nerve
Optic disc
Optic neuropathy
Strabismus
Extraocular muscles
Binocular vision
Accommodation
Paralytic strabismus
palsies
Other strabismus
Other binocular
Refraction
Vision disorders
Blindness
Anopsia
subjective
Pupil
Other