Pinguecula and Dry Eye Problem

Pinguecula is some sort of lesion on the eye – and so is pterygium. The two conditions resemble every single other so much they are usually mistaken for 1 a different.

A pinguecula (plural, pingueculae) is a thick area lesion along the sclera (the white spot) of the eye in the vicinity of its borders with the cornea. The lesion is elevated a little bit and white to yellow in colour. The pinguecula generally starts in the palpebral fissure (the floor location dividing the higher and lower eyelids). It appears much more opaque than healthier conjunctiva (the mucous membrane coating the internal eyelid area and the white of the eye), has a oily physical appearance, and is much more likely to be situated on the nose (somewhat than the ear) side of the eye.

Pterygium (plural, pterygia) is a triangular, wing-like lesion that in fact invades the cornea, commonly in close proximity to the nose and in the location steady with the conjunctiva. It can be detected by its head – a raised, creamy, opaque tissue on the cornea. Though regularly not sight-threatening, serious pterygium can inflict corneal blindness.

The two lesions are identical in mobile/tissue buildings. A pinguecula is distinguishable from a pterygium by its situation relative to the cornea and the horizontal orientation of its harmed tissues. Having said that, a pinguecula can change into a pterygium when it crosses over onto the cornea.

Brings about

The will cause of pinguecula and pterygium are not obviously set up. There is seem evidence, however, that both equally disorders are strongly linked with recurring, extensive-phrase publicity to the blue and ultraviolet bands of the gentle spectrum. It is not coincidental that they are a lot more possible found around the cusp of the cornea, which is the component with biggest publicity to daylight. The cornea and conjunctiva suffer mobile destruction from publicity to ultraviolet radiation, primarily when reserves of the useful anti-oxidants glutathione and astaxanthin are minimized.

Pinguecula is also associated with increasing age. Pingueculae have developed in most eyes by age 70 and in practically all eyes by age 80. This is most likely a consequence of gradual deterioration of the conjunctiva, as a consequence of growing older, past inflammations, serious discomfort, and dryness of the eyes.

Pterygium has been inextricably related with clients living at latitudes of 37 degrees north and south of the equator – which seems to bolster the affiliation with UV-gentle publicity. Hereditary influences have also been described. An additional cause is human papilloma virus infection.

In the identical way as pinguecula, pterygium is suspected to create from regular existence to dust, very low humidity (which can induce rapid tear evaporation and dry eyes), and very small injury from particles in the air these types of as smoke and sand. Dry eye signs and symptoms may also be confounding elements.

While pterygium is typically seen as a deep-rooted degenerative illness, some of its indicative traits point to a irregular advancement condition – not contrary to some benign tumours. Immediately after surgical procedure, pterygia have exhibited a strong and invasive propensity to recur.

Signs and symptoms

Pingueculae normally do not result in trouble. You could get a overseas system feeling from an inflamed pinguecula. Severely dry ailments and other environmental variables can induce irritation and enlargement.

You frequently will not expertise any signs from pterygium. But enlarged and irritated pterygia might induce foreign human body sensation and some cosmetic apprehensions about the visual appeal of your eyes. Swollen or more properly-designed pterygia, having said that, can guide to astigmatism as the advancement exerts force on your cornea.


Inflammation in the pinguecula (regarded as pingueculitis) is extremely receptive to remedy with non-steroidal anti-inflammatory medicines or, if vital, topical corticosteroids. The accompanying dry eye signs and symptoms can be dealt with with eye drops. If you intend to go outside, it will be prudent if you to guard your eyes from daylight with a good set of sunglasses. Surgical elimination of a pinguecula is seldom needed.

A small but swollen pterygium could be tackled by corticosteroid drops to suppress the swelling. Dryness in the eye may well be pacified with prescription eye drops.

Substantial pterygia may perhaps be far better neutralised by surgical excision. The excision process is quick, but protecting against re-emergence is not very simple. Thanks to its aggressive tendency to regenerate, your doctor’s treatment technique may well resemble anticancer techniques, such as extensive surgical removal to uproot all feasible pterygium-impacted tissues, beta-radiation radiotherapy, and chemotherapy with mitomycin C, an anticancer compound.