Pinguecula

Question 1

Aetiology:

Answer 1

Found para-limbal, but mainly nasally
Caused by degeneration of collagen fibres
Associated with age or chronic environmental irritation (e.g., eye rubbing /dusty environments)

Question 2

Signs:

Answer 2

Raised bulbar conjunctival lesion
Conjunctival thickening, usually close to limbus
White appearance, but can become yellow
Calcification can be present
Can affect tear layer ==>reduce TBUT / tear prism
Can become inflamed ==>pingueculitis

Question 3

Symptoms:

Answer 3

Usually asymptomatic
Mild FB sensation
Discomfort if inflamed

Question 4

Management:

Answer 4

Reassure px that is benign
Discuss aetiology and advise regarding reducing/ removing cause
Ocular lubricants to reduce symptoms