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Patient Education · Cornea

Pterygium & Surface Growths

Growths on the surface of the eye are common, and most are harmless. Some, like a pterygium, can creep onto the cornea and affect vision, and a few need to be checked for something more serious.

What it isA fleshy growth that spreads onto the cornea
Main causeYears of sun, wind, and dust exposure
When to treatGrowth toward the center, irritation, or astigmatism
TreatmentRemoval with a tissue graft to lower regrowth

What is a pterygium?

A pterygium (pronounced “tuh-RIJ-ee-um”) is a wedge of fleshy, pink tissue that grows from the white of the eye onto the cornea. It is linked to years of sun exposure, along with wind and dust, and is more common in people who spend a lot of time outdoors.

It can make the eye red, gritty, and irritated. As it grows toward the center, it can warp the cornea and cause astigmatism, and eventually block vision.

A pink, wedge-shaped growth extending from the corner of the eye onto the cornea
A pterygium usually starts on the side nearest the nose and grows toward the center of the cornea.

How it can be treated

  1. 1

    Protection & comfort

    Sunglasses and a hat slow growth. Lubricating drops, and short courses of anti-inflammatory drops, calm flare-ups.

  2. 2

    Removal

    When a pterygium grows toward the center, affects vision, or keeps the eye irritated, it can be removed in a short outpatient surgery.

  3. 3

    A graft to prevent regrowth

    The area is covered with a thin graft of your own surface tissue, often held with tissue glue instead of stitches, which greatly lowers the chance it grows back.

Other Surface Growths

Not every bump is the same

Most surface growths are benign, but a careful exam tells them apart.

A small yellowish bump on the white of the eye beside the cornea01

Pinguecula

A yellowish bump on the white

A small, raised spot beside the cornea, also linked to sun exposure. It can get irritated but rarely needs surgery.

Cornea cutaway with raised bluish-white nodules under the surface02

Salzmann’s nodules

Raised bumps on the cornea

Bluish-white nodules on the front of the cornea that can blur vision. They are smoothed away with superficial keratectomy. Learn about SK

A gelatinous pinkish-white growth at the edge of the cornea with enlarged blood vessels03

Surface cancer (OSSN)

Ocular surface squamous neoplasia

A growth of abnormal surface cells that can look gelatinous or white, often with prominent blood vessels. It is treated with special drops, surgery, or both.

A growth that is changing, bleeding, or has a feeding blood vessel should be examined promptly.

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General information only, not medical advice. Your doctor will recommend what fits your eyes.

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