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Pathology Misc. f46ec8fd

A 67-year-old man complains of a lesion in his left eye. Physical examination reveals a triangular fold of vascularized conjunctiva growing horizontally into the cornea in the shape of an insect wing. Which of the following terms best describes this patient's lesion?

A
Loiasis
B
Onchocerciasis
C
Pinguecula
D
Pterygium
High-Yield Explanation
Pterygium is a fold of vascularized conjunctiva that grows horizontally onto the cornea in the shape of an insect wing (hence the name). It is often associated with a pinguecula (conjunctival lump, choice C) and frequently recurs after excision.Diagnosis: Pterygium

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