The cell cycle kinetics of 93 specimens of pterygial tissue, as well a
s 19 specimens of normal conjunctiva, from patients at three sites rep
resenting three different latitudes (Singapore, 1 degrees; Hong Kong,
22 degrees; and Little Rock, Arkansas, 34 degrees) were evaluated by f
low cytometry. The results showed no difference in cellular proliferat
ion patterns between pterygial and conjunctival tissue at any of the s
ites, suggesting that pterygium is not a disorder of excess cellular p
roliferation. Transmission electron microscopy showed extracellular ma
trix to be a prominent component of pterygium. Cellular proliferation
patterns of primary and recurrent pterygium were not significantly dif
ferent from each other. Factors associated with increased incidence of
pterygium included male sex, outdoor occupation, and advanced age.