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Summary
This review outlines pterygium management, covering diagnosis, medical therapy, surgery, and adjunctive measures to reduce recurrence. It provides guidelines for treating primary, recurrent, and pseudopterygium.
Area of Science:
- Ophthalmology
- Ocular surface disease
Background:
- Pterygium is a common ocular condition affecting the conjunctiva.
- Understanding pterygium pathogenesis and recurrence is crucial for effective management.
Purpose of the Study:
- To present a comprehensive rationale for pterygium management.
- To classify pterygium and discuss its pathogenesis and recurrence theories.
- To recommend treatment guidelines based on clinical evidence.
Main Methods:
- Review of empirical data and theoretical concepts of pterygium.
- Classification of pterygium into primary, secondary (recurrent), and pseudopterygium.
- Analysis of treatment phases: diagnosis, medical therapy, surgery, and postoperative adjunctive measures.
Main Results:
- Discussion of pterygium pathogenesis and recurrence factors.
- Evaluation of various postoperative adjunctive measures to minimize recurrence.
- Consideration of indications, techniques, results, and complications of these measures.
Conclusions:
- A structured, four-phase approach to pterygium management is proposed.
- Guidelines for pterygium treatment, emphasizing recurrence reduction, are recommended.