The usual management of a pterygium is which of the following?

• A. Observation for most cases with removal only if growth affects vision.
• B. Immediate surgical excision in all cases.
• C. Antiviral therapy.
• D. Laser photocoagulation as first-line.

Answer: (B)

Pterygium is usually managed with a watchful approach. Most lesions remain stable and do not threaten vision, so the common plan is to monitor and provide symptomatic relief—artificial tears for irritation, and measures to reduce sun exposure and dryness. Surgery is reserved for cases where the growth encroaches on the visual axis or induces significant astigmatism or cosmetic concerns. This helps avoid unnecessary risks, since surgical removal can have complications and a notable chance of recurrence. Antiviral therapy isn’t indicated because pterygium isn’t caused by a virus, and laser photocoagulation isn’t a first-line approach for this condition.