Pinguecula: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
[[File:PRE-OPERATIVE PINGUECULA.jpg|thumb|Pinguecula]] | |||
*Triangular visible white-colored mass on the sclera | *Triangular visible white-colored mass on the sclera | ||
*Foreign body sensation with irritation, pruritus, tearing, dryness | *Foreign body sensation with irritation, [[pruritus]], tearing, dryness | ||
*Does not cross the limbus or enter the visual axis ( | *Does not cross the limbus or enter the visual axis (differentiates pinguecula from a [[pterygium]]) | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
| Line 23: | Line 24: | ||
*UV Protection | *UV Protection | ||
*Lubricating eye drops | *Lubricating eye drops | ||
*Naphazoline/ketorolac (NSAID) drops (if symptomatic) | *Naphazoline/ketorolac ([[NSAID]]) drops (if symptomatic) | ||
==Disposition== | ==Disposition== | ||
Latest revision as of 21:35, 6 October 2019
Background
- Benign scleral growth
- Mass of collagen degeneration and fibroblastic proliferation
- Can begin on the temporal or nasal side of the cornea. More commonly develops on the nasal side.
Risk factors
- Sunlight (UV) exposure
- Windy, sandy and dusty environments
- More common near the equator
Clinical Features
- Triangular visible white-colored mass on the sclera
- Foreign body sensation with irritation, pruritus, tearing, dryness
- Does not cross the limbus or enter the visual axis (differentiates pinguecula from a pterygium)
Differential Diagnosis
Ocular Diagnoses
- Acute angle-closure glaucoma
- Conjunctival abrasion
- Corneal foreign body
- Corneal ulcer
- Episcleritis
- Painful eyes with normal exam
- Pterygium
- Scleritis
- Traumatic hyphema
- Uveitis
- Pinguecula
Evaluation
- Clinical diagnosis, based on history and physical exam
Management
- UV Protection
- Lubricating eye drops
- Naphazoline/ketorolac (NSAID) drops (if symptomatic)
Disposition
- Discharge with non-emergent ophthalmology follow-up