Why Is Pterygium Called Surfer’s Eye?

Closeup of a patient's eye with a pterygium

If you spend a lot of time outdoors or on the water, you may have heard the term “surfer’s eye.” This refers to a condition known as pterygium, a noncancerous growth that can cause irritation and blurred vision. Despite its nickname, pterygium does not only affect surfers or those who spend a lot of time in the ocean. The main culprit is excessive exposure to bright sunlight. Exposing your eyes to significant amounts of UV light from the sun puts you at high risk for developing a growth (light reflected from the ocean is what sparked the “surfer’s eye” moniker). Additionally, long-term exposure to windy conditions is also thought to be a cause.

More people than just surfers or those who embrace an outdoor lifestyle are at risk of developing this impairment, so it’s important to understand the broader implications. Pterygium is often associated with environments that are harsh on the eyes, not limited to just aquatic surroundings. Those living in high-altitude areas or places with strong winds and dusty conditions may also be more susceptible. It’s a reminder that our eyes are sensitive to a variety of environmental factors, not just water and sunlight. 

Recognizing the risk factors beyond the stereotype of the surfer’s lifestyle highlights the importance of eye protection in diverse settings. Whether you’re a mountain biker, a skier, or someone who enjoys long hikes in sunny locales, safeguarding your eyes against the elements is crucial. This broader understanding of pterygium challenges the misconception that it’s a condition exclusive to certain groups and emphasizes the need for universal eye care practices.

Symptoms of Surfer’s Eye

Often shaped like a wedge, a pterygium is a non-cancerous growth of a mucous membrane filled with blood vessels that cover the white part of your eye (sclera) over the cornea. Though this is a non-cancerous growth but can cause a range of irritating side effects. While it isn’t life-threatening, its impact on one’s vision and eye comfort can be significant.

Symptoms of pterygium include:

  • Redness and irritation: This is one of the most common symptoms. The affected area can become inflamed, leading to noticeable redness and in some cases, severe discomfort.
  • Dryness or a gritty feeling: Many people with pterygium experience a foreign body sensation similar to having something stuck, often described as gritty or sandy.
  • Blurred vision: As the pterygium grows, it can encroach upon the cornea, the eye’s clear front surface, leading to blurred vision. This is due to the irregular surface it creates on the cornea.
  • Double vision: In more advanced cases, the growth can alter the shape of the cornea to such an extent that it causes double vision or astigmatism.
  • A noticeable growth that affects sight: The physical presence of the pterygium, especially when it extends over the cornea, can obstruct one’s line of sight.

Even in mild cases of pterygium, the primary concern for many individuals is often cosmetic reasons, particularly the appearance of a yellowish patch or growth on the white part of the eye. This discoloration or noticeable growth, although it might not impede vision or cause physical discomfort significantly, can still be a source of self-consciousness or distress for individuals. The presence of this visible irregularity on the eye can affect one’s appearance and, by extension, their social confidence and psychological well-being. Therefore, it is entirely justified for individuals to seek medical help for pterygium, even if their concerns are primarily aesthetic. Eye specialists understand the impact of such conditions on a person’s quality of life and can offer solutions that address both the physical and cosmetic aspects of the condition. In this context, seeking medical intervention for even seemingly minor cosmetic issues is an important step in preserving not only eye health but also personal comfort and self-esteem.

If left untreated, pterygium can spread across the rest of your cornea, so it’s important to have it looked at by a professional during the early stages.

Pterygium Treatment Options

Given its appearance of a wedge-shaped bump, a pterygium is fairly straightforward to diagnose. An eye doctor will be able to determine its presence with a simple examination under bright lighting.

Eye Drops

If the pterygium is not causing vision problems or creating discomfort, it can be left untreated. However, if it is having those effects, you have a couple of treatment options. Over-the-counter artificial tears can help reduce inflammation and reduce redness. In more extreme cases, steroid eye drops may be prescribed to treat irritation.

Pterygium Surgery

Surgical removal is also an option if the eye drops are inadequate or vision becomes more impaired. The surgery, which shouldn’t cause any pain, removes the pterygium from the cornea and sclera of the eye. Performed under local anesthesia, the affected area is then covered with a small tissue graft to aid in healing. Most patients can resume normal activities within a few days to a week after pterygium surgery, depending on individual healing.

Not Just for Surfers – How To Decrease Your Risk

While common in surfers due to the high exposure to UV light, this condition can also be caused by regular contact with harsh elements like sand, smoke, wind, pollen, or chemicals. As a result, people who live or work in warm, sunny environments — such as farmers, landscapers, and construction workers — are most likely to experience symptoms. Thankfully, it is rarely seen in children.

The good news is that there are several ways to protect yourself from pterygium, even if your job or lifestyle requires significant time outdoors. Try these preventative steps:

  • Don’t trust any old sunglasses. Make sure you are wearing a pair with proper UVA/UVB protection to limit the sun’s impact.
  • Eye Protection such as goggles or a face shield can help keep dusty conditions and other irritants at bay.
  • Wear a wide-brimmed hat for extra protection, especially when on the water.

Prioritizing Eye Health in the Fight Against Pterygium

Understanding that “surfer’s eye,” or pterygium, is more than just a concern for those who hit the waves, it’s essential for everyone to take proactive steps in eye care and protection. This condition, marked by a benign growth on the eye, serves as a reminder of the vulnerability of our eyes to environmental elements like UV rays and wind. Symptoms can vary from mild, such as a yellowish discoloration, to more severe cases involving vision impairment.

Therefore, whether you’re a surfer, an outdoor enthusiast, or someone who spends considerable time in harsh environmental conditions, prioritizing eye health is crucial. Consider scheduling regular eye check-ups, especially if you experience any symptoms of pterygium. Embrace protective measures like wearing sunglasses with proper UVA/UVB protection, using eye protection in dusty or windy environments, and donning wide-brimmed hats for additional shade.

Taking these preventative steps not only safeguards your vision but also ensures that you continue to enjoy your outdoor activities with peace of mind. Remember, eye health is an integral part of overall well-being, and taking action today can prevent complications tomorrow. Don’t wait for symptoms to escalate – be proactive in protecting your eyes from the elements.

And remember, if you are ever concerned about a possible pterygium growth on your eye or your risk for developing one, Visionary Eye Doctors is here to help. Book an appointment online to consult with one of our expert technicians.

Article reviewed on 11/26/2021 by:

Dr. J. Alberto Martinez

Founder and CEO of Visionary Eye Doctors

Dr. J. Alberto Martinez is a board-certified ophthalmologist that has performed more than 11,000 pterygiectomies, with an astoundingly low recurrence rate of less than 1%. This is one of the largest volumes of pterygium surgeries and lowest recurrence rates, placing Dr. Martinez as a pterygium “Top Surgeon” internationally. Dr. Martinez maintains a research fellow focused on pterygium. He has published and presented numerous studies nationally and internationally to share his expertise regarding pterygium.

Eye pterygium

How To Know if You Need Pterygium Removal Surgery

A pterygium (tuh-RIJ-ee-uhm) is an abnormal tissue growth filled with blood vessels on the conjunctiva, the transparent membrane covering the eye. It’s also known as surfer’s eye because factors such as UV exposure, getting sand in your eyes, and living in tropical or dusty environments increase the risk of developing this condition. Pterygium may look a little strange, but rest assured that it’s not cancer.

If you have been diagnosed with pterygium, it’s essential to begin treatment immediately. In mild cases, your eye doctor may recommend conservative treatments to manage pterygium without surgery. However, the only way to remove the growth entirely on your conjunctiva is to get pterygium surgery. Here are the factors that play into your decision to have your pterygium surgically removed.

Eye healthy and with pterygium. Conjunctival degeneration before and after surgery. Eye disease. Human organ of vision with pathology. Vector realistic illustration.

Discomfort

Minor pterygium growth is usually treatable with artificial tears that improve lubrication and reduce redness and inflammation. However, itchiness, irritation, burning, grittiness, dry eyes, and the sensation that something is “in your eye” may persist in severe cases. If you experience constant discomfort despite taking over-the-counter medicine, you have a viable reason to consider pterygium surgery.

Corneal Distortion

Pterygium growth usually begins in the corner of the eye and slowly spreads toward the cornea, the clear surface on the front of the eye. If the pterygium extends onto the cornea, it may distort the shape of your eye and cause a condition called astigmatism. This imperfection of the corneal curve causes blurry vision and may prevent you from wearing your contact lenses. If your pterygium is starting to affect the shape of your cornea, surgical treatment should solve the problem.

Poor Vision

Mild pterygium doesn’t usually cause vision problems. Typically, the wedge-shaped growth only covers the white of the eye, or it may partially obscure the iris. With conservative treatment, pterygium often stops progressing at this point. However, if the pterygium grows, it may eventually cover the pupil. In addition to potentially distorting the cornea and causing astigmatism, this may lead to obstructed or double vision. If you begin experiencing visual disturbances because of pterygium, it’s time to consider surgery.

Cosmetic Reasons

Your eyes are one of the first things people notice about you. If you have a wedge-shaped growth covering the whites of your eyes and part of your irises, you might start feeling self-conscious about the way your eyes look. People may even make remarks or ask questions about your condition, making you even more insecure. Rest assured that pterygium surgery entirely removes the growth in your eyes, leaving you with an excellent cosmetic outcome.

What is the Recovery Time for Pterygium Surgery

Before and after surgery

The recovery time for pterygium surgery, especially with the ASAP™ method, is generally short. This is a minimally invasive surgery, which helps reduce both discomfort and healing time. Patients typically can return to their normal activities soon after the procedure. The surgical area quickly regains a normal appearance as the tissue glue used dissolves within about a week, allowing the eye to heal efficiently and minimizing disruption to daily life.

What Are The Chances of Pterygium Recurrence

The chance of pterygium recurrence after surgery is influenced by the surgical approach and post-operative care. Dr. Martinez has performed over 12,000 pterygium surgeries with superior patient outcomes and an incredibly low recurrence rate of less than 0.01%. These factors place Dr. Martinez among the top pterygium surgeons in the world.

To further minimize the risk of recurrent pterygium, it is crucial for patients to adopt preventive measures. Wearing sunglasses or a wide-brimmed hat to shield the eyes from UV exposure is recommended. Such precautions are essential, especially considering UV exposure is a significant factor in the development of primary pterygium. By adhering to these guidelines, patients can significantly reduce the likelihood of recurrence, ensuring the long-term success of the surgery.

Schedule Pterygium Removal Surgery at Visionary Eye Doctors

Doctor, vision or black woman in eye exam consultation or assessment for eyesight at optometrist office. Mature or senior optician helping a customer testing or checking iris or retina visual health

Our experienced ophthalmologist, Dr. J. Alberto Martinez, treats pterygium with Advanced Sutureless Amniotic Membrane Pterygiectomy (ASAP™). The ASAP™ procedure uses an advanced autograft technique and tissue “glue” to deliver no-stitch pterygium surgery. It’s possible to place the tissue adhesive in mere seconds rather than taking minutes to apply stitches. An amniotic membrane is also placed in the eye to aid the healing process and decrease inflammation. The tissue adhesive dissolves in about a week, leaving no residue and allowing the eye to heal comfortably.

For more information about pterygium removal and other surgical procedure options, please contact Visionary Eye Doctors online or call us at (301) 591-1763. We have three offices in the DC area to better serve you.

Can a Pterygium | Carnosidad Grow Back After Removal?

Pterygium, also known as “surfer’s eye,” is a non-cancerous thickening of the outer coating (conjunctiva) of the eye that grows onto the cornea. Normally the conjunctiva is a thin clear membrane over the ‘whites’ of the eye (sclera) and extends to the inner surface of the eyelids.

In most cases, pterygium must be surgically removed to relieve discomfort and restore the cosmetic appearance to the eye. Pterygium removal is a safe procedure and can be performed in our state-of-the-art office surgical suite.

How can you lower the chance of recurrence or regrowth?

The best way to lower the chance of recurrence or regrowth of a pterygium is to ensure you choose the best surgeon based on his or her experience and one that specializes in that procedure, has developed and continually improving a surgical technique, and has performed a large volume or large number of surgeries. When surgeons perform certain procedures with regularity and they specialize in those procedures, they continually improve and perfect their technique and are better equipped to deal with any complication.

Why Pterygium | Carnosidad Regrowth Occurs

Recurrence rates vary widely among current studies on pterygium regrowth. While some studies have reported rates as high as almost 40 percent, others report rates as low as 5 percent. Other studies have found that recurrence is higher among individuals who had their pterygium removed during the summer months, possibly because overexposure to the sun has been linked to pterygium development. Wearing polarized sunglasses is a must. Other factors that can increase the risk of recurrence include dusty and windy conditions.

One of the Lowest Documented Recurrence Rates in the World – The EyeWhite Institute at Visionary Eye Doctors

EyeWhite

Dr. J. Alberto Martinez, Founder of Visionary Eye Doctors and one of the most sought after Pterygium surgeons in the world, has many years of collective experience, training and has developed The ASAP™ (Advanced Sutureless Amniotic Membrane Pterygiectomy procedure – providing a superior cosmetic outcome. Dr. Martinez, founder of The EyeWhite Pterygium and Pinguecula Research Institute has conducted numerous clinical research studies and has published in prestigious ophthalmology journals. He is on the cutting edge of the latest and most advanced surgical methods to reduce the possibility of recurrence, including using a special no stitch, amniotic membrane technique.

Studies have shown this technique can lower pterygium recurrence rate to less than 5 percent. Dr. Martinez has one of the lowest recurrence rates in the world – less than 0.1%. Following your procedure, our team will schedule follow-up appointments with you to monitor your progress. We will also make recommendations on medications or steps you can take to minimize the chances of recurrence.

To learn more about the ASAP™ procedure, please click here.

LEARN MORE FROM VISIONARY EYE DOCTORS

To learn more about pterygium surgery or to schedule a FREE consultation, please request to schedule a surgical consult online today here, or call 301.896.0890 and a member of our team will gladly assist you.

How to Protect Your Eyes from a Pterigión or Carnosidad?

How to protect your eyes from a Pterygium | Pterigión | Carnosidad?

Most people may have not heard of a pterygium, and you may be wondering what the heck a pterygium is? Pronounced (turr-idge-ee-um) it may be easier to remember it by its nickname, Surfer’s Eye.

Tell me more about Pterigión | Carnosidad…

A pterygium is a condition that affects individuals who are exposed to sunlight for long periods of time. Surfers are at higher risk for developing this condition because they spend long periods of time in the sunlight. They are also at higher risk due to the reflection of the sunlight on the surface of the water. A pterygium can affect people of all ages who have excessive exposure to UV rays or by living in a dry, dusty, windy environment and also you may be prone to pterygium due to your heredity.

Prevention and Treatment

A pterygium is a non-cancerous growth on the white part of the eye. It typically grows on the inner cornea of the eye, closer to the nose. It can obstruct your vision and cause it to become blurry. The most common symptoms of a pterygium are blurry vision and a burning or itching sensation in your eyes as well as:

  • Eye redness and inflammation
  • A gritty feeling in the eye
  • A feeling that there is a foreign object in the eye
  • Dryness of the eye due to reduced tear production
  • Blurring of vision if the corneal surface is altered or “warped”
  • Obscuring of vision if growth encroaches across the pupil.

People who live in sunny climates, work outside or are from countries that are close to or live near the equator have a higher risk of developing a pterygium. It is also more common among individuals between the ages of 20-40 and affects men more commonly than women.

As with many medical conditions, the best treatment for a pterygium is prevention (we know, we know… but keep reading!)

With Spring and Summer approaching and as a pterygium may be caused by prolonged exposure to UV rays, the best way to protect yourself is by protecting your eyes from potential sun damage:

  • Use sunglasses that block out ultra-violet light (close-fitting, wrap around styles are best)
  • Wear sunglasses and a hat with a wide brim when outdoors
  • Avoid exposure to environmental irritants, for example: smoke, dust, wind and chemical pollutants
  • Use appropriate eye safety equipment in work environments.

Not only does Pterygium affect your eye health, it can cause you to struggle with your appearance and create self-esteem issues. We can help, if you have a pterygium or may know someone who does, please contact us or request to request to schedule a free consultation.

Closeup of a patient's eye with a pterygium

Is Having a Pterygium Dangerous?

Study Finds Pterygium may increase risk of Cutaneous Melanomas

A pterygium is a visible growth on the surface of the eye. It typically emerges as a triangular, soft-tissue growth from the corner of the eye, with a pink and fleshy appearance. This growth is the body’s way of trying to protect the eye from intense environments, such as high levels of sunlight, dust, sand or wind.

In general, pterygia (plural) are not dangerous. During the early stages of pterygium development, the main concern is cosmetic – they change the eye’s appearance – but there is no effect on vision. Symptoms in the early stages may include irritation, itching or burning. These can generally be managed with eye drops. Avoid further exposure to sunlight and wind to reduce the stimulus for it to grow larger. A small pterygium that has stopped growing is relatively harmless and may not need any further treatment. However, surgery is an option if you are worried about the cosmetic appearance of your eye and find you feel self-conscious which may affect your overall confidence and social interactions.

In many cases, the pterygium may continue to grow across the eye and either directly block vision or distort the shape of the cornea and cause blurred vision (astigmatism).

Importantly, pterygia are not cancerous – they are benign growths. That means that while they may grow locally (and possibly affect your sight), they won’t spread to other parts of your body. Nevertheless, it’s important that you have an ophthalmologist evaluate any growth on your eye to rule out more serious conditions, such as a conjunctival or iris tumor.

Pterygium – a red flag for cutaneous melanoma, major new study shows

And while pterygia themselves are not cancerous, new findings published by Australian researchers, looked at 23,625 people who underwent treatment for pterygium, found that people who have a pterygium are nearly 25% more likely to develop malignant melanoma – a dangerous form of skin cancer.

The study advised, ‘Eye care providers who see patients with developing pterygia should advise these patients of this increased risk and recommend regular skin surveillance.” Tell your primary care or dermatologist if you have (or have had) a pterygium, make sure that you protect your skin from the sun/UV exposure (i.e. sunscreen, long-sleeved tops, shade) and always have regular skin checks.

 

A doctor holding a patient's hand

Thinking of having your Pterygium removed?

How to select the best surgeon… If you feel you would like to have a consult with a surgeon for your pterygium due to symptoms, vision issues and/or the overall appearance of your eyes, here are some essential considerations and questions you may wish to ask in order to receive the best possible medical or […]