翼状片
WordNet
- either of two thickened triangular layers of conjunctiva extending from the nasal edge of the eye to the cornea; it arises from irritation of the pinguecula
- scandent thicket-forming ferns of Asia to western Pacific (同)genus Diplopterygium
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Pterygium refers to any winglike triangular membrane occurring in the neck, eyes, knees, elbows, ankles or digits.[1]
In the eye, a pinguecula is called a pterygium if it invades the cornea.
The term comes from the Greek word pterygion meaning "wing".
Contents
- 1 Types
- 2 Effects
- 3 Surgical removal
- 4 Natural history
- 5 References
- 6 Further reading
Types
- Popliteal pterygium syndrome, which affects the legs.
- Pterygium (conjunctiva)
A pterygium grows in response to exposure to ultraviolet light. They are more common in light-skinned people living nearer the equator, particularly where outdoor activities are popular.
As the pterygium grows, it replaces the corneal epithelium, and erodes the superficial layers beneath it. These layers are Bowman's membrane, and the anterior corneal stromal lamellae. The pterygium pulls and distorts the cornea as it enlarges.
Effects
A pterygium reduces the vision in several ways:
- Distortion of the corneal optics. This begins usually when the pterygium is greater than 2mm from the corneal edge (limbus)
- Disruption of the tear film. The tear film is the first lens in the eye. Pterygia are associated with eyelid inflammation, called Blepharitis.
- Growth over the corneal centre, which leads to dramatic reduction of vision.
- Induced anterior corneal scarring, which often remains after surgical removal.
Surgical removal
Indications for surgery, in order of decreasing importance:
- Growth over the corneal centre.
- Reduced vision due to corneal distortion.
- Documented growth.
- Symptoms of discomfort.
- Cosmesis
Surgery is usually performed under local anaesthetic with light sedation as day surgery. The pterygium is stripped carefully off the surface of the eye. If this is all that is done, the pterygium regrows frequently. The technique with the lowest recurrence rate uses a graft of conjunctiva from under the eyelid. This is placed over the defect remaining from the removed pterygium. The graft can be stitched in place, which is time consuming, and painful for the patient afterwards. An alternative is the use of tissue adhesive glue, called Tisseel, which allows faster surgery and less pain post-operatively.
Natural history
A pterygium grows very slowly. Usually it takes several years or decades to progress, but occasionally growth may be rapid in the presence of inflammation such as Blepharitis.
References
- ^ Parikh SN, Crawford AH, Do TT, Roy DR (May 2004). "Popliteal pterygium syndrome: implications for orthopaedic management". Journal of Pediatric Orthopedics. Part B 13 (3): 197–201. doi:10.1097/01202412-200405000-00010. PMID 15083121.
Further reading
- Campbell, Thomas Gordon (2014). "A radical treatment for surfer's eye". Case Reports 2014: bcr2014203896. doi:10.1136/bcr-2014-203896. Lay summary – Live Science (April 8, 2014).
UpToDate Contents
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English Journal
- Management of knee deformities in children with arthrogryposis.
- Lampasi M, Antonioli D, Donzelli O.SourceDivisione di Ortopedia e Traumatologia Pediatrica, Istituto Ortopedico Rizzoli, via Pupilli 1, 40136, Bologna, Italy, manuele.lampasi@ior.it.
- Musculoskeletal surgery.Musculoskelet Surg.2012 Aug 9. [Epub ahead of print]
- Arthrogryposis includes heterogeneous disorders, characterized by congenital contractures of multiple joints. Knee involvement is very common (38-90 % of patients with amyoplasia) ranging from soft-tissue contractures (in flexion or hyperextension) to subluxation and dislocation. Flexion contractur
- PMID 22875688
- Preoperative factors influencing success in pterygium surgery.
- Torres-Gimeno A, Martinez-Costa L, Ayala G.AbstractABSTRACT:
- BMC ophthalmology.BMC Ophthalmol.2012 Aug 8;12(1):38. [Epub ahead of print]
- ABSTRACT:BACKGROUND: To identify preoperative, perioperative and postoperative risk factors that influence the success of pterygium surgery.METHODS: This is a prospective study of thirty-six patients with primary or recurrent pterygia. A detailed anamnesis and an ophthalmological examination were pe
- PMID 22873737
Japanese Journal
- 自己結膜弁移植と羊膜を用いた片側および両側初発翼状片の治療成績 (特集 第66回日本臨床眼科学会講演集(8))
- 光による眼の障害(<特集>青色照明光の心理・生理的効果とその評価)
- 尾花 明
- 照明学会誌 97(9), 621-626, 2013-09-01
- … Ultraviolet light induces damage on the corneal epithelium, pterygium and cataract. …
- NAID 110009657937
- 臨床研究 初発翼状片1,832眼に対する術中マイトマイシンCを併用した有茎結膜弁移植術の検討
Related Links
- WebMD explains the causes, symptoms, and treatment of pterygium (surfer's eye), a corneal growth that affects people who spend a lot of time outdoors. ... Though it’s named for a certain type of athlete, this common ...
- pterygiumとは。意味や和訳。[名詞] (pl. pte・ryg・i・ums,-i・a[-dʒiə]) 〔眼科〕 翼状(贅ぜい)片:角膜の上に達する異常な三角形の厚い結膜;視界を妨げる.[語源]1657.<近代ラテン語<ギリシャ語 pterỳgion 小さな翼,ひれpterygial ...
- pterygiumの意味・和訳。【名詞】目の鼻端から角膜に及ぶ結膜の2枚の厚い三角形の層のどちらでも(例文)either of two thickened triangular layers of c.....英検公式!英検対策に役立つ英和・和英辞書
Related Pictures
★リンクテーブル★
[★]
- 英
- pterygium
- 同
- 翼状贅片
病因
病態
症候
- 角膜輪部を超えて角膜内に侵入すると角膜乱視、瞳孔領にかかれば視力低下を来す。
治療
- 外科的に病変を切除し、結膜弁移植を行う。
- 再発防止のためにマイトマイシンCを使うとか
予後
参考
- 1. [charged] 翼状片 - uptodate [1]
国試
[★]
クロヅル属、トリプテリギウム属、Tripterygium属
- 関
- Tripterygium wilfordii
[★]
- ラ
- Tripterygium
- 関
- クロヅル属、トリプテリギウム属