Clinical Presentation of Pterygium and Factors Responsible For Its Occurrence in Rural Kashmir
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 2
Abstract
Pterygium (Wing) is a pathological encroachment of bulbar conjunctiva on to the cornea. It is found in sunny, hot and dusty regions of the world, the incidence varies with the amount of exposure to these climatic conditions. Purpose: To find out the possible factors responsible for the occurrence of the pterygium and its clinical presentation Observations: The present study included 120 patients – 50 males and 70 females, 92 progressive and 28 atrophic types. In both sexes progressive type was more common in younger age group (below 40 years) and atrophic in older age group. The incidence of progressive pterygium was 84.28% in females as compared to 66% in males, the association being of significant nature (p<.02). By occupation, housewives were found commonest to be involved (84.28%) followed by farming (19.16%). There was higher incidence among illiterates (58.33%) as compared to literates (41.67%) . Positive family history was present in 21 cases (17.5%), which had no significance. The main complaints of patients were of irritation with visual disturbance in 48.33% (mostly in cases with progressive pterygium) followed by irritation alone in 16.67% ( mostly in atrophic pterygium). All atrophic types were of duration > 12 months and 89 out of 92 cases of progressive pterygium were of duration < 12 months showing that as time progresses, progressive type takes up atrophic shape. Conclusion: Since people from low socio-economic group living in remote areas are more susceptible to develop this disease, there is a need to improve their socio-economic status . Also they should be educated to use protective glasses during work.
Authors and Affiliations
Dr. Ejaz Akbar Wani, Dr. Asif Amin Vakil, Dr. Rakshanda Aziz
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