Pinguecula

Pinguecula
		SYMPTOMS	Mild irritation \| Usually asymptomatic
		SIGNS	Yellow-white elevated conjunctival lesion
		WORK-UP	Thorough history. Slit lamp examination
		TREATMENT
			Observation \| UV-blocking sunglasses \| Preservative-free artificial tears for comfort
			Topical steroids are rarely indicated but if inflamed (pingueculitis) or symptomatic can use: Pred Forte 1% 1 gtt OU qid x 1 week \| Lotemax 1 gtt OU qid x 1 week
		FOLLOW-UP	Frequent follow-ups are not required unless undergoing steroid treatment
		ADDITIONAL LAB \| TESTS	None
		ETIOLOGY	Unknown \| UV exposure, age, and chronic exposure to environmental irritants may contribute
		DIFFERENTIAL DX	CIN \| Pterygium \| Limbal dermoid \| Pannus \| Limbal stem cell deficiency
		NOTES	None