52-year-old Laxmanrao Godbole worked as a supervisor at a construction site in Mansarovar, Navi Mumbai. Over a period of several years he noticed that a red growth had developed at the nasal end of his left eye and that it was gradually increasing in size. He also experienced intermittent irritation and redness in his eyes.
One day, he asked his employer if he knew any eye doctor who could help him. Looking at his eye condition, his boss advised him to visit an eye doctor at Advanced Eye Hospital & Institute (AEHI), in Sanpada. His father had a wonderful experience with the cataract surgery at AEHI. This instilled trust in Laxmanrao and requested him to help him visit the eye doctor. His kind boss fixed an appointment for his hardworking employee and gave him the address.
On the day of appointment, the staff members of AEHI warmly welcomed and directed Laxmanrao and his wife towards comprehensive eye check-up after they had completed the formalities.
Comprehensive eye check-up was done for him. He complained of blurred vision, eye irritation and foreign body sensation. Schirmer’s test score was 9 mm and 8 mm after 5 mins for right and left eye respectively.
Schirmer’s test is a dry eye test where the moisture content in the eyes or production of tears is determined using paper strips. Paper strip is inserted under the lower eye lid of the eyes. When the test result is normal- the filter paper shows more than 10 mm of moisture in 5 minutes. For Laxmanrao, the reading was lesser and was indicative of dry eyes.
After the initial eye check-up, he was referred to Dr. Swati Gupta. Dr. Gupta, a Cataract and Cornea specialist at AEHI, observed that there was fleshy mass growing on the inner corner of Laxman’s left eye. Then, she asked him about his occupation and probed further into the eye test results. Dr. Swati diagnosed him with Pterygium.
Pterygium is a wing like structure of tissue that grows from the conjunctiva and crosses the junction of sclera (white part of the eye) and the cornea. Cornea is the clear outmost surface of the eye covering the iris – the colored part of eye.
Occasionally pterygium can grow and encroach on the centre of the cornea. This can interfere with the incoming light and thus impair vision. Apart from these, it can restrict eye movements, increases sensitivity to light (photophobia) and in some cases induces astigmatism. Since, this can happen to any person, hence there is no particular demographic for this eye condition.
Particular cause of Pterygium is not known, however, studies have shown that prolonged exposure to ultraviolet rays is a major contributor to it. The jobs that requires one to work under sunlight and particularly in a dry, dusty environment or weather can predispose to this eye condition. This explains Laxmanrao’s case.
Subsequently, Dr. Gupta advised him to undergo a surgery to remove the fleshy mass and replace it with a graft from the same eye called as conjunctival autograft. He underwent the said surgery and within a week or so got back to his normal working. He experienced some irritation initially which subsided in a few days. He was advised a few eye drops and ointments to reduce the inflammation. Further, he was also advised to avoid dry dusty places along with other do’s, and dont’s of eye care.
During all the subsequent follow up sessions, regular photo documentation and Corneal Topography tests were carried out as to check the normal graft uptake and the curvature of the cornea respectively.
Over few months, Laxmanrao was a happy man as he regained normal vision and was able to move his eyes without difficulty.
Cornea is dome shaped structure that is the outermost part of the human eye. It is a very sensitive and protective structure of our eye along with eyelids. If the Pterygium is progressively increasing in size and there is a risk that it can reach the centre of the corneal surface it is better to surgically excise it. Pterygium can block the visual axis if left untreated. For Laxmanrao surgical removal of the tissue combined with his own eye’s conjunctival autograft was done to cover the site and to avoid re-occurrence.
Dr. Swati Gupta is a Cornea, Cataract and Lasik Surgeon. She is trained from the best of the institutes and has a wide experience of treating patients with corneal diseases. She specializes in doing corneal surgeries like corneal transplants, limbal stem cell transplantation, ocular surface reconstruction, corneal tear repair etc. She is very thorough in her approach and is well appreciated by all her patients and receives excellent feedbacks. Consult Dr. Swati Gupta by booking an appointment here.
About Advanced Eye Hospital and Institute:
Advanced Eye Hospital and Institute in Navi Mumbai is equipped with one of the best eye hospitals in Mumbai. Comprehensive eye check-up and the operation theatres are state-of-art and equipped with the best diagnostic and surgery machines. Personalized care, infection free modular operation theatres and beautiful ambiance complement the cutting edge eye care offered at AEHI. Besides treating patients from Kharghar, Nerul, Vashi and Panvel, patients from all over western India travel to AEHI for world class eye care management.