Pathologic and Demographic Evaluation of Pterygium in Shafa Hospital, Kerman

To determine the pathology type of pterygium in surgeries performed in Shafa Hospital of Kerman. This descriptive-analytical study was performed on all patients (111) that were under surgeries since March 2011 till August 2012 in Shafa Hospital of Kerman. Background information including age and gender, clinical findings including the side of the eye involved with pterygium and the pingecula in the other eye, the location of pterygium, the degree of progression of the pterygium to the center of the cornea and the extent of the lesion in the Limbus area, the pupillary diameter, the type of pathology, the grading of the disease, the surgery technique, and pathological findings of the samples were included in the checklist. Finally, the data were analyzed by of SPSS 20 software. Right eye was involved in 54% of the patients. In this study 50% of patients’ other eye had pterygium and 40% of the patient had pingecula. The most common complaint of patients was vision loss (79%). In 94% of the patient, pterygium was in nasal area. The mean enhancement of lesion, extent of the lesion, and corneal diameter were 3.9, 6.1, and 11.00 mm, respectively. In 6 patients, SCC, carcinoma insitu, and CIN was seen. A total of 64% of the patients were older than 50 years and 53% were female, but there was no significant difference in age and gender. In patient with grade 1, there were no pathology. In grade 2, the most common pathology was carcinoma insitu, and in grade 3, it was SCC. Generally, 60% of the patients were treated with the conj flap method and 40% of the patients underwent pterygium surgery, using the Bare Sclera method. With respect to observation of many of malignant cases such as SCC, carcinoma insitu in patients with clinical diagnosis of pterygium, it is useful to remove all ptertgium samples to refer to pathology experiments.