Presentation
RESULTS: Two hundred and sixty-six subjects (7.3%) had pterygium (or had a history of pterygium surgery) and 2521 (69.5%) had pinguecula present in either eye. [ncbi.nlm.nih.gov]
MUC5AC was present in normal conjunctiva ( G ) but not in pinguecula ( H ). [iovs.arvojournals.org]
They usually appear on the side closer to the nose, are present in both eyes and are relatively permanent. Although a pinguecula itself is usually harmless, it sometimes causes redness or irritation to the eye. [aoa.org]
In the findings presented at ISVER in Kfar Maccabia, Israel, researchers analyzed outcomes of dry-eye symptoms reported by patients with pterygium. [sciencedaily.com]
Information about eye conditions, disorders and treatments is presented courtesy of the Eye Physicians & Surgeons of Ontario. [cos-sco.ca]
Entire Body System
- Inflammation
For patients with eye discomfort, artificial tears, gels or ointments and other eye drops, e.g. topical steroid drops might be prescribed to reduce the inflammation and relieve relevant symptoms caused by inflammation. [bangkokhospital.com]
In some cases, the conjunctivia can become red and irritated, which can worsen any dry eye symptoms and irritation, which results in increased awareness and inflammation. [kanataoptometry.ca]
When a pterygium becomes red and irritated, eye drops or ointments may be used to help reduce the inflammation. If it’s large enough to threaten sight or grows rapidly, it can be removed surgically. [sabateseye.com]
This is a degenerative lesion of the conjunctiva which appears as a consequence of exposure to ultraviolet light but is also related to other harmful elements such as welding and eye inflammation and irritation. [institutmacula.com]
When a pterygium or pinguecula becomes red and irritated, eyedrops or ointments may be used to help reduce inflammation. If the growths become large enough to threaten sight or cause persistent discomfort, they can be removed surgically. [myriverside.com]
- Swelling
Pterygium treatment Your ophthalmologist can treat the discomfort, redness or swelling from a pterygium with lubricating or steroid eye drops. [aao.org]
It may also cause dryness, redness, swelling, or pain in your eye. What increases my risk for a pinguecula? There is no known cause of a pinguecula. [drugs.com]
The pterygium is more aggressive, with growth into the cornea, with a greater tendency to swell. It can affect vision by distorting the cornea, causing astigmatism or directly if it progresses to the central area. [barraquer.com]
This should cause the swelling to recede, and it might remove the pinguecula entirely; however, if the patient does not want to wait, surgery is an option. [nvisioncenters.com]
- Pain
[…] pterygium Caused by chronic exposure to ultraviolet light in predisposed individuals Usually resolves spontaneously, but faster with artificial tears or topical vasoconstrictors Elevated patch of conjunctiva with engorged vessels leading to it Mild eye pain [kellogg.umich.edu]
It may also cause dryness, redness, swelling, or pain in your eye. What increases my risk for a pinguecula? There is no known cause of a pinguecula. [drugs.com]
Although rare, other risks of pterygium surgery may include: During the healing process some patients have significant pain and may require prescription pain relief The site at which the pterygium was excised may be red for a prolonged period Wound infection [doctor-hill.com]
A 28-year-old woman presented with a five-day history of redness (see accompanying figure ) and mild pain in her left eye. She had not experienced discharge, blurry vision, or photophobia. [aafp.org]
In rare cases, a pinguecula can be surgically removed if it doesn’t clear up and continues to cause painful symptoms. You can also choose to have it removed if you are bothered by the way it looks. [webmd.com]
- Gaucher Disease
Note that pterygia and pingueculae are both benign growths on the surface of the eye - the only distinguishing difference is that pterygia grow over the edge of the cornea Links: Gaucher's disease (GD) pterygia [gpnotebook.co.uk]
It may have an increased prevalence in Gaucher's disease. Diagnosis [ edit ] This section is empty. [en.wikipedia.org]
May have an increased prevalence in Gaucher's disease. IPS 8 9. [de.slideshare.net]
Gaucher disease may be associated with pinguecula that is pigmented (brown) and triangular. Histology of such lesions reveals Gaucher cells (lipid-laden macrophage). Other lysosomal storage disorders can also have pinguecula. [ncbi.nlm.nih.gov]
- Surgical Procedure
Patients are instructed that this is a serious surgical procedure with associated risks. Even with a very low recurrence rate, scarring and worse-looking eyes are possible. Individual healing patterns play an important role in final outcomes. [gulanivision.com]
Skin
- Flushing
After removing all sponges, the area is flushed copiously with balanced salt solution. [gulanivision.com]
Eyes
- Foreign Body Sensation
Conjunctival foreign body: Conjunctival foreign body is recognizable by slit-lamp examination of the eye—the patient complaints of foreign body sensation and watering of the eye surface. [ncbi.nlm.nih.gov]
This can cause dry eye symptoms, such as a burning sensation, stinging, itching, blurred vision and foreign body sensation. [allaboutvision.com]
Symptoms None to severe foreign body sensation, redness, tearing, decreased contact lens tolerance, poor cosmesis. Causes Exposure to ultraviolet rays. Tests and Diagnosis Slit lamp examination is essential. [willseye.org]
Symptoms Foreign body sensation Dry, irritated eyes Red, inflamed eyes Blurred, distorted vision (pterygium only) Causes Environmental History of a lot of time spent outdoors UV light Windy, Dusty conditions If you would like to discuss pterygium/pinguecula [wadzinskieyeclinic.com]
Symptoms may include decreased vision and foreign body sensation. It is more common in sunny, hot, dry climates. [merckmanuals.com]
- Lacrimation
Desiccating stress induces T cell-mediated Sjögren’s syndrome-like lacrimal keratoconjunctivitis. J Immunol. 2006;176(7):3950–3957. [dovepress.com]
Desiccating stress induces T cell-mediated Sjögren’s syndrome-like lacrimal keratoconjunctivitis. J Immunol. 2006; 176 (7):3950–3957. [ PubMed ] [ Google Scholar ] [ncbi.nlm.nih.gov]
Neurologic
- Confusion
Pinguecula A pinguecula (plural pingueculae) is very similar to a pterygium, and the two are often confused. [eyeinstitute.co.nz]
Sometimes people confuse pingueculae with eye growths called pterygia, but they are different. Learn more about what a pterygium is. Treatment Pinguecula treatment depends on how severe the symptoms are. [allaboutvision.com]
Pingueculas are sometimes confused with pterygiums, which is also known as surfer’s eye. This is a different growth altogether. Even though it also grows on the conjunctiva, it’s wedge-shaped and extends to your cornea. [webmd.com]
Pterygia Occasionally, pinguecula is confused with another form of eye growth called pterygia. Sometimes the two are mentioned together, but they are distinct conditions. [nvisioncenters.com]
Treatment
Pterygium Treatment Treatment for pterygia depends on size, extent, and recurrent inflammation. It may involve mild steroid eye drops to be used during flare-ups. [lotusvision.com]
Pinguecula Diagnosis and Treatment An eye care professional can diagnose pinguecula with an examination, using a slit lamp to view the eye closely. Treatment depends on the severity of the symptoms present. [bastropfamilyeyecare.com]
This treatment possibility offers very distinct advantages over the existing treatment offered." [sciencedaily.com]
Treatment A pinguecula usually does not require treatment, although its presence can signal an eyecare practitioner to diagnose and assess it, along with possible eyelid and conjunctiva issues. [kanataoptometry.ca]
Prognosis
Prognosis Visual and cosmetic prognosis is good. Vision is not affected. No systemic and genetic association noted. IPS 26 27. [de.slideshare.net]
Expectations (prognosis) This condition is non-cancerous ( benign ) and the outlook is good. Complications The pingeucula may grow over the cornea and impair vision. When this happens, the growth is called a pterygium. [indiatoday.in]
Outlook / Prognosis What outcome can I expect if I have pinguecula? Pinguecula has a good prognosis. A pinguecula usually doesn’t cause any serious problems. Most people who have a pinguecula don’t need treatment. [my.clevelandclinic.org]
Outlook (Prognosis) This condition is noncancerous ( benign ) and the outlook is good. Possible Complications The pingueculum may grow over the cornea and block vision. When this happens, the growth is called a pterygium. [ufhealth.org]
Outlook (Prognosis) This condition is noncancerous (benign) and the outlook is good. Possible Complications The pingueculum may grow over the cornea and block vision. When this happens, the growth is called a pterygium. [mountsinai.org]
Etiology
Etiology 4. Clinical features and differential diagnosis 5. Treatment 6. Possible complication 7. Culprit in CL practice 8. Prevention 9. Conclusion 10. References 4. [de.slideshare.net]
Etiology Pingueculae are thought to arise as a result of the effects of environmental irritants such as wind and dust and are associated with UV-light exposure and aging, however the evidence of the association between UV-light exposure and pingueculae [eyewiki.aao.org]
Objectives: Identify the etiology of pinguecula. Describe the histopathology of pinguecula. Outline the treatment of pinguecula. [ncbi.nlm.nih.gov]
[…] dialysis time of pre-kidney transplantation. 38 Wang YL...Jin P 22773990 2012 48 Ophthalmic manifestations and histopathology of xeroderma pigmentosum: two clinicopathological cases and a review of the literature. 38 Ramkumar HL...Chan CC 21684361 2011 49 Etiology [malacards.org]
Epidemiology
Epidemiological studies correlate with the UV dose received throughout life, either by geographic cause, or professional sports; sunglasses or even hats are useful for prevention. [barraquer.com]
Banta Definition and Epidemiology Pinguecula and pterygium are two of the most common ocular surface abnormalities with which patients visit primary care providers. [aneskey.com]
Epidemiology Male: female= 2:1 Most common over the age of 40 But may occur in 20 and 30 years old adults who spend significant time in the sun. May have an increased prevalence in Gaucher's disease. IPS 8 9. [de.slideshare.net]
Epidemiology The prevalence of pinguecula is variable from region to region. Prevalence can range from 22.5% to 97%.[3] Pinguecula is a benign lesion. It is a grey white-yellow mass on the bulbar conjunctiva. [ncbi.nlm.nih.gov]
Liang Wang & Jianhua Wang Eye & Contact Lens: Science & Clinical Practice (2017) Prevalence and Associated Factors of Pinguecula in a Rural Population in Shanghai, Eastern China Qihua Le, Jun Xiang, Xinhan Cui, Xiaodong Zhou & Jianjiang Xu Ophthalmic Epidemiology [nature.com]
Pathophysiology
Objective IPS 2 To have a better understanding about pinguecula with regard to its pathophysiology, clinical manifestation, management and prevention. 3. Contents IPS 3 1. Overview of pinguecula 2. Pathophysiology 3. Etiology 4. [de.slideshare.net]
Pathophysiology Pingueculae and pterygia have both degenerative and proliferative components. [aneskey.com]
Prevention
Prevention Things you can do that may help prevent a pingueculum or keep the problem from getting worse include: Keeping the eye well lubricated Wearing good quality sunglasses Avoiding eye irritants References Farjo QA, Sugar A. [indiatoday.in]
Prevention Things you can do that may help prevent a pingueculum or keep the problem from getting worse include: Keeping the eye well lubricated with artificial tears Wearing good quality sunglasses Avoiding eye irritants Images References Reidy JJ. [ufhealth.org]
Prevention Things you can do that may help prevent a pingueculum or keep the problem from getting worse include: Keeping the eye well lubricated with artificial tears Wearing good quality sunglasses Avoiding eye irritants References American Academy of [mountsinai.org]
Medications that prevent tissue growth are sometimes used to help prevent recurrences of pinguecula or pterygium. [rutnin.com]