ArticlesChildhood Onset of Pterygia in TwinsBloom, Adam H. M.D.; Perry, Henry D. M.D.; Donnenfeld, Eric D. M.D.; Pinchoff, Barry S. M.D.; Solomon, Renée M.D.Author Information From Ophthalmic Consultants of Long Island (A.H.B. H.D.P., E.D.D.), Rockville Centre, NY; and Pediatric Ophthalmology of Greater New York (B.S.P.), Great Neck, NY. Address correspondence and reprint requests to Dr. H.D. Perry, 2000 North Village Avenue, Suite 402, Rockville Centre, NY 11570; e-mail: [email protected] Accepted February 16, 2005. Eye & Contact Lens: Science & Clinical Practice: November 2005 - Volume 31 - Issue 6 - p 279-280 doi: 10.1097/01.ICL.0000165281.48056.15 Buy Metrics Abstract Purpose. To report a case of childhood onset of pterygia in twins. Methods. Twelve-year-old male twins had nasal lesions on the left eye of twin A and on the right eye of twin B. Both lesions were excised with superior conjunctival autograft. Results. Histopathologic examination showed the lesions to be pterygia. Other pedigrees of familial pterygia have been described. However, to the authors’ knowledge, this young age at onset has not been documented with histopathology in twins. Conclusions. This case report documents the youngest age at onset of pterygia in twins, with histologic confirmation. It suggests a genetic or developmental cause for pterygium formation. © 2005 Lippincott Williams & Wilkins, Inc.