“…The current understanding of the pathogenesis of pterygium implicates multifactorial mechanisms including ultraviolet (UV) exposure (Threlfall and English, 1999), oxidative stress (Kau et al, 2006; Balci et al, 2011), anti-apoptotic factors (Tan et al, 2000; Liang et al, 2011), inflammatory mediators (Baser et al, 2016), immunologic mediators (Di Girolamo et al, 2002), viral infections (Hsiao et al, 2010), genetic factors (Weinstein et al, 2002), extracellular matrix modulators (Tsai et al, 2010) and growth factors (Kria et al, 1996; Kria et al, 1998; Jin et al, 2003; Nolan et al, 2003). A detailed discussion of these pathogenic factors is beyond the scope of this review and is proficiently covered in other comprehensive reviews (see Di Girolamo et al, 2004; Chui et al, 2008; Liu et al, 2013; Cardenas-Cantu et al, 2014).…”