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Pterygium and Pinguecula

WHAT ARE PTERYGIUM AND PINGUECULA?

Pterygia and pingueculae are both growths that occur on the surface of the eye – most likely caused by long-term exposure to sunlight and/or dusty conditions – they are slightly different. Pterygium is a common eye condition that affects people who spend a lot of time outdoors and in the sun. Because it often affects surfers, it is also known as “surfer’s or farmer’s eye”. It can affect anyone, even children who don’t wear sunglasses outside. People with pterygium have a growth of pink, fleshy tissue on the white of the eye. The growth usually forms on the side closest to the nose and grows toward the center of the eye.

Pterygium is a noncancerous lesion that usually grows slowly throughout life. It may even stop growing after a certain point. In advanced cases, a pterygium can continue growing until it covers the pupil of the eye and interferes with vision. A pterygium may affect one or both eyes. When it affects both eyes, it is called a bilateral pterygium. Pterygium is usually not a serious condition but it can cause annoying symptoms such as the feeling of having a foreign body in the eye. Sometimes the growth becomes red and irritated and requires medical treatment.

A pinguecula is a yellowish patch or bump on the conjunctiva, near the cornea. It most often appears on the side of the eye closest to the nose. It is a change in the normal tissue that results in a deposit of protein, fat and/or calcium. It is similar to a callus on the skin. Pinguecula has the same risk factors as pterygium, especially frequent exposure to the sun without sunglasses. Because pinguecula may prevent tears from coating the surface of your eye well, it can cause dryness and a feeling like something’s stuck in your eye. The pinguecula can also become red.

SYMPTOMS OF PTERYGIUM AND PINGUECULA

Pingueculae and pterygia are types of growths that can form on your eye. The singular term for pterygia is pterygium. They share a few similarities, but there are also notable differences between these two conditions. Pingueculae and pterygia are both benign and grow near the cornea. They’re both linked to exposure to the sun,

wind, and other harsh elements. However, pterygia don’t look like pingueculae. Pterygia have a flesh-colored appearance and are round, oval, or elongated. Pterygia are more likely to grow over the cornea than pingueculae. A pinguecula that grows onto the cornea is known as a pterygium.

Symptoms may include:

  • Burning
  • Gritty feeling
  • Itching
  • Sensation of a foreign body in the eye
  • Blurred vision

CAUSES AND DIAGNOSIS OF PTERYGIUM AND PINGUECULA

Most experts believe that significant risk factors include:

  • Prolonged exposure to ultraviolet light (direct sun light)
  • Dry eye
  • Irritants such as dust and wind

Pterygium can develop in anyone who lives in a sunny climate. It’s most often seen in young adults ages 20 to 40 and appears to be more common in men than in women.

Pterygium is often preceded by a related non-cancerous condition called pinguecula. This is a yellowish patch or bump on the conjunctiva near the cornea. The conjunctiva is the thin, moist membrane on the surface of the eye. Dr. Paul can diagnose pterygium and pinguecula through an examination using a slit-lamp. This device allows him to closely examine the eye’s cornea, iris, lens and the space between the iris and cornea. It also allows him to closely examine the eye in small sections, making it easier to see abnormalities.

PTERYGIUM SURGERY

Pterygium generally don’t require treatment until symptoms are severe enough. When they become red and irritated, lubricating eyedrops or ointments or possibly a mild steroid eye drop may be used to help reduce inflammation. If these growths become large enough to threaten sight or cause persistent discomfort, they can be removed surgically by Dr. Paul in an outpatient procedure. They are also sometimes removed for cosmetic reasons and the treatment may be performed at any of our convenient offices in Austin, New Braunfels, Westlake, Lakeway and Dripping Springs. For milder pterygia, a topical anesthetic can be used before surgery to numb the eye’s surface. Your eyelids will be kept open while the pterygium is surgically removed.

After the procedure, which usually lasts no longer than an hour depending on the type of surgery performed, you likely will need to wear an eye patch for protection for a day or two. You should be able to return to work or normal activities the next day. Note that pterygium removal can sometimes cause astigmatism or worsen the condition in people who already have a refractive error. After removal of the pterygium, steroid eye drops may be prescribed for several weeks to decrease swelling and prevent regrowth.

PINGUECULA SURGERY

Because a pinguecula will not grow across your cornea in the same way that a pterygium can, surgery is rarely used to remove a pinguecula. However, if the pinguecula becomes a pterygium, or grows very large and does not respond to eye drops, Dr. Paul can perform a simple surgical procedure to remove it.

PTERYGIUM AND PINGUECULA PREVENTION

As with most conditions, prevention is better than cure. You can help prevent a pterygium or pinguecula from developing by wearing sunglasses and hats outdoors. Individuals who spend a lot of time in water or snow should be especially careful to protect their eyes from ultraviolet (UV) light. Protecting your eyes against UV light can also help to limit the progression of growths after you have been diagnosed. If you have any further questions and would like to schedule a consultation with Dr. Paul, we are here to help at 512-642-5050.