Pinguecula

Question 1

Description

Answer 1

Degenerative conjunctival lesion

Question 2

Differential diagnosis

Answer 2

• early pterygium

• inflammatory conditions of conjunctiva / sclera

Question 3

Signs

Answer 3

• raised yellowish lesion

• bulbar conjunctiva

• doesn’t cross limbus

• more prominent and yellow with age

• can become inflamed

Question 4

Symptoms

Answer 4

• usually asymptomatic

• mild FB sensation

• cosmetic concern

• can cause irritation / tolerance issues with CL

Question 5

Pathogenesis

Answer 5

• degeneration of conjunctival collagen, can be senile.

• exposure to UV, hot / dry conditions

• welding / other professions

• CL wear

Question 6

Treatment

Answer 6

• patient reassured

• cosmetically unacceptable- GP

• UV protection and discussion of protecting rest of adnexa

• ocular lubricants

• GP referral if not resolving