Description

A pterygium is a triangular growth of fibrovascular tissue that extends from the bulbar conjunctiva to the cornea. Exposure to blue and ultraviolet light is a major cause favoring its development. The risk of developing the lesion can be reduced by attention to protective and precipitating factors.


 

Major factors greatly favoring development (high relative risk):

(1) increased times spent outdoors in an environment with a high surface reflectance of ultraviolet light (sand or water)

(2) living in latitudes from 0-29°, especially from age 0 to 5

 

Additional factors favoring development to a lesser degree (lower relative risk)

(1) living in latitudes from 30-39°

(2) increasing age (> 50 years of age)

(3) male gender (although this might be explained by occupational and outdoor exposures)

(4) working in a factory or as a machine operator

(5) eye color hazel-green

(6) never tan, always burn (Type I skin type)

(7) red-auburn hair color

(8) smoking

 

Protective factors:

(1) wearing regular glasses or sunglasses (I would assume protective eyewear in factories would function similarly).

(2) wearing a hat

(3) eye color blue-gray

(4) working predominantly indoors as a professional or office worker

 


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