Pterygium

Patients with asymptomatic pterygia, or those with minor symptoms that have been present for many years with no history of recent progression, can be discharged to their optometrist with clear instructions for them to use UV protection for their eyes (i.e., wraparound sunglasses and hats with brims) and to return if eyes become more symptomatic or if they think the lesion is enlarging.

Following surgical excision and conjunctival autografting, patients are prescribed antibiotic-corticosteroid eye drops, with the frequency of use gradually tapered over 6 to 12 weeks depending on the degree of postoperative inflammation. Patients are typically seen postoperatively at 1 day, 4 weeks, 12 weeks, and then at 6 and 12 months. If there is no recurrence, patients are usually discharged at 12 months to the care of their optometrist and told to return if they have any further symptoms or recurrence of the disease.