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Hi, As You Can See There Is A Bit Of

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Posted on Sun, 2 Feb 2020
Question: Hi,
As you can see there is a bit of pterygium that has advanced over my left eye%E2%80%99s iris (it%E2%80%99s been like that for the past year), and I was told by my GP that there is pterygium in my right eye as well.
I have made an appointment with an ophthalmologist about them, and I want them to be removed. Can you tell me please what should be my expectations? Is the surgery for it a difficult and complicated one? Is it costly undergoing the surgery? How about the healing process? I was told that usually doctors advise that pterygium that doesn%E2%80%99t affect the eyesight be left alone, but I want them to be removed? How can I convince the ophthalmologist to do it for me if that%E2%80%99s going to be his advice?

Thank you!

Best regards,

Mohsen
doctor
Answered by Dr. N K Mishra (1 hour later)
Brief Answer:
Pterygium removal.

Detailed Answer:
My dear,
Thanks for sending your query to us.
The left eye pterygium is too small.Right eye pterygium is not even visible in the photograph.I personally would not advice you to go ahead with surgery.
The plan of surgery in cases of perygiam is excision with conjunctival grafting or amniotic membrane grafting depending upon the level of advancement of the centre where you plan to have surgery.conjunctival or amniotic membrane grafts can be stuck with glue and may not need suturing, thereby still reducing the recovery time.
Total cast of surgery is variable.
It is surgery to be handled by an expert.You will get excellent result from surgery.I personall do not insist upon surgery in my practice in patients who have this level of pterygium.
Consult your ophthalmologist and see what is his openion.
Do get back to me in case of any further query in this regard.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. N K Mishra (3 hours later)
Dear Dr. Misra,

Thank you for your reply, sir!

You said that I would get excellent result from surgery despite the fact that you would not insist upon surgery in your practice for this level of pterygium. Does it mean there is nothing wrong with me insisting on its removal, and then undergoing the surgery, understanding that the ophthalmologist that I’m going to see will probably have the same advice(I really do wish that it be removed)?!
Is the surgery a difficult or complicated one?

Thanks again!

Warm regards,

Mohsen
P.S.: My gender somehow is being indicated as female; It’s male, actually!
doctor
Answered by Dr. N K Mishra (5 hours later)
Brief Answer:
Pterygium surgery

Detailed Answer:
My dear,
Good of you to get back to me.
There is no harm in having the surgery now, though i would expect the surgeon to discourage you.You should have the right to choose.
Make sure the surgeon suggests amniotic membrane or conjunctival graft.Without that the chances of recurrence are way too high.
Gender was evident from the photograph.
It is a minute surgery and not much of bother.Still it's a lot of precise work requiring a level of expertise.
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. N K Mishra

Ophthalmologist

Practicing since :1977

Answered : 1297 Questions

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Hi, As You Can See There Is A Bit Of

Brief Answer: Pterygium removal. Detailed Answer: My dear, Thanks for sending your query to us. The left eye pterygium is too small.Right eye pterygium is not even visible in the photograph.I personally would not advice you to go ahead with surgery. The plan of surgery in cases of perygiam is excision with conjunctival grafting or amniotic membrane grafting depending upon the level of advancement of the centre where you plan to have surgery.conjunctival or amniotic membrane grafts can be stuck with glue and may not need suturing, thereby still reducing the recovery time. Total cast of surgery is variable. It is surgery to be handled by an expert.You will get excellent result from surgery.I personall do not insist upon surgery in my practice in patients who have this level of pterygium. Consult your ophthalmologist and see what is his openion. Do get back to me in case of any further query in this regard.