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

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