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March 1988

Giant Cell Reaction in Pterygium

Arch Ophthalmol. 1988;106(3):312-313. doi:10.1001/archopht.1988.01060130338011

To the Editor.  —We recently examined a pterygium excised from a 55-year-old man that contained a giant cell reaction associated with elastotic degeneration. There was no evidence of infection, foreign body, or any other cause of a histiocytic giant cell infiltrate.

Report of Case.  —A 55-year-old man was evaluated for decreased vision in both eyes. The patient reported that both his mother and sister had surgically excised pterygia. He had no history of trauma, infection, or previous eye surgery. He reported that he spent most of his time outdoors.Examination showed his best corrected visual acuity to be 20/80 OD and 20/40 OS. External and anterior segment examination results were normal, with the exception of bilateral pterygia, which were present nasally in the interpalpebral fissures on both eyes. The pterygium on his right eye (Fig 1) extended further onto the cornea than the other pterygium. Kera

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