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Letter
Temporal pterygium: benign or not?
  1. B Ramasamy1,
  2. S A Quah1,
  3. M S Wishart1,
  4. P Hiscott2
  1. 1Department of Ophthalmology, North Cheshire Hospitals NHS Trust, Lovely Lane, Warrington WA5 1QG, UK
  2. 2Unit of Ophthalmology, Department of Medicine, University Clinical Departments, Duncan Building, Daulby Street, Liverpool L69 3GA, UK
  1. Correspondence to: Balasubramanian Ramasamy Department of Ophthalmology, Warrington Hospital NHS Trust, Lovely Lane, Warrington WA5 1QG, UK; anitharamsaol.com

https://doi.org/10.1136/bjo.2005.071993

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    A true pterygium is a degenerative and hyperplastic process in which the cornea is invaded by a triangular fold of bulbar conjunctiva. Duke-Elder states that the pterygium when single is almost invariably found on the nasal side.1 The literature on pterygium is abundant and almost from the beginning the emphasis has been placed on its location on the nasal side.

    Squamous cell neoplasia of the conjunctiva is relatively uncommon and can masquerade as common, but less significant, ocular surface conditions including pterygium or chronic blepharoconjunctivitis. We present a case of intraepithelial neoplasia, initially diagnosed as inflamed pterygium.

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    Footnotes

    • Competing interests: none declared