Surgical and Medical Management of Pterygium Ashok Garg, Essam El Toukhy, Belquiz A Nassaralla, Sunil Moreker
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1Surgical and Medical Management of Pterygium
2Surgical and Medical Management of Pterygium
Editors Ashok Garg MS PhD FIAO(Bel) FRSM FAIMS ADM FICA International and National Gold Medalist Chairman and Medical Director Garg Eye Institute and Research Centre 235-Model Town, Dabra Chowk Hisar -125 005, India Essam EL Toukhy MD FRCOph Deputy Director National Eye Institute, Egypt Associate Professor of Ophthalmology, Cairo University 14-A, EI Sobki Street 23, Dokki, Cairo Egypt 12311 Belquiz A Nassaralla MD FRCOph Consultant Ophthalmic Surgeon Department of Cornea and Refractive Surgery Goiania Eye Institute, Goiania, GO Brazil Sunil Moreker MS Consultant Ophthalmologist PD Hinduja National Hospital and Medical Research Centre Veer Savarkar Marg, Mahim Mumbai -400 016, India Foreword Pelin Kaynak-Hekimhan
3Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
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Surgical and Medical Management of Pterygium
© 2009, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editors and the publisher.
This book has been published in good faith that the material provided by contributors is original. Every effort is made to ensure accuracy of material, but the publisher, printer and editors will not be held responsible for any inadvertent error(s). In case of any dispute, all legal matters are to be settled under Delhi jurisdiction only.
First Edition: 2009
9788184486551
Typeset at JPBMP typesetting unit
Printed at Ajanta
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To
—Ashok Garg
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—Essam EL Toukhy
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—Belquiz A Nassaralla
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—Sunil Moreker
5Contributors 6Foreword
Patient with pterygium is a common problem in Ophthalmology. Regrowth of pterygium is not rare and reoperations are more complex and difficult. Although it is a challenging surgical problem even for the specialists of ocular surface disease, ophthalmic plastic and reconstructive surgery and anterior segment surgery, the comprehensive ophthalmologists face and manage the condition frequently. Studies on new surgical techniques with or without flaps and grafts, treatment regimens with adjunctive chemicals bring more effective solutions.
It is a great honor for me to have the opportunity to write a foreword to the book Surgical and Medical Management of Pterygium written by Dr Ashok Garg and Co-Editors. They altogether assemble a lot of information in this field with great ambition, diligent work and effort, and shared it with other colleagues.
The tremendous work to bring this book in life, obviously necessitates a wide collaboration among ophthalmologists. However, this hard work may not be so hard for Dr Ashok Garg, who has a wide circuit of national and international Co-Editors who enthusiastically contribute to ophthalmic literature. And this great enthusiasm and dedication to Ophthalmology and to the spreading of ophthalmic knowledge brought together all of these information, experience and innovations in his new book just like his previous books that helped ophthalmologists, ophthalmology residents, physicians and related health workers and most important of all, for the patients we all value highly.
Therefore, I congratulate Dr Ashok Garg and all contributing colleagues for the meticulous hard work that formed this book and presented it to ophthalmology bibliotheque.
Pelin Kaynak-Hekimhan md
Director
Ophthalmic Plastic and Reconstructive Surgery Division
Istanbul Prof R Belger Beyoglu Eye Research Hospital
Istanbul, Turkey
E-mail: pkaynak@superonline.com
Phone: +90 532 366 8738
Fax: +90 212 2916245
7Preface
Pterygium is an important clinical entity which has assumed an importance in the last one decade, as the patient is more conscious to cosmetic appearance. Pterygium is a fibrovascular growth of the conjunctiva on the ocular surface extending over the nasal sclera on to the cornea and may eventually obstruct the vision. Pterygium is more common in dry, dusty and windy climate. In the recent times, there has been advances in the surgical and medical management of pterygium with better visual acuity and cosmetic appearance.
The present book has been prepared with the aim of providing latest information about pterygium, pathophysiology, differential diagnosis and various treatment modalities in a comprehensive and easy-to-read format. Twenty-five chapters of this book provide complete insight into various parameters of pterygium. A special chapter has been added to provide details about recent advances in this field.
We are thankful to Shri Jitendar P Vij (Chairman and Managing Director), Mr Tarun Duneja (Director-Publishing) and all staff members of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, who took active interest in this project and published this unique book in a short time.
We expect this book shall help all the keen ophthalmologists worldwide to help them in decision making and sharpen their surgical skills for the better management of pterygium patients.
Editors