PMC7138956_01
(A) Initial slit-lamp image showing a double-head pterygium of the right eye. (B) Five and a half years later, during a follow-up visit a progression could be seen in the photo comparison and the patient explained a worse visual acuity (slit-lamp images with white light showing a 10x magnification).
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Upon examination, a pterygium was present on both the nasal and temporal sides of the right eye, a so-called double-head pterygium (Figure 1A). Two years later, during the next follow-up visit in September 2017 (Figure 1B) we saw a progression in the photo documentation and the patient explained a worse visual acuity.
Slit-lamp images showing the course of healing over time. (A) Slit-lamp image showing the large double-head pterygium before surgery. (B) Fourteen days after pterygium resection and nasal conjunctival autograft transplantation, and temporal primary closure. (C) Eight weeks after surgery a reduction in the inflammation and healing could be seen. (D) At the 12-month follow-up, a slit-lamp examination revealed stable findings. There was no sign of recurrence or any postoperative complication.
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Figure 2 shows this eye's course of healing over time.
(A) Slit-lamp image showing the large double-head pterygium before surgery. (B) At the 12-month follow-up, there was no sign of recurrence.
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There was no sign of any postoperative complication (Figure 3).