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Ocular Disease: Pinguecultis

What is pingueculitis?

Pingueculae appear as yellowish patches on the white of the eye (sclera), usually forming on the side closest to the nose. These patches represent an alteration of normal tissue that produces a deposit of protein and fat. Pingueculitis refers to a condition in which the pingueculae become vascularized and inflamed and cause redness and irritation. In severe cases of pingueculitis, very small ulcerations may occur within the conjunctival epithelium. The eye responds to this ulceration by attempting to cover the site of erosion, which leads to pterygium formation.


Symptoms

  • Small yellowish patches visible on the sclera, normally located toward the nose

  • Redness

  • Irritation


Risk Factors

Individuals at increased risk of developing pingueculitis include people who spend large quantities of time outdoors (due to work or leisure) as well as those who are in the "middle-age" category. Environmental irritants such as dust or wind may also present a certain amount of increased risk.


Treatment

An optometrist may prescribe lubricating eye drops or ointments in order to reduce irritation. Topical steroids may be used in cases with significant inflammation. In severe cases, surgery may be required.


Prevention

Protective eyewear may be used to guard against environmental irritants. Sunglasses with 100% UVA and UVB protection are extremely beneficial to reducing risk of developing pingueculitis as well as other ocular health issues. 

This is a very common condition, and although noticeable, this is not an infection, nor does it lead to vision loss. Many times, one may see yellow spots on their eyes and seek eyecare at that time.

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