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Pingueculae

Signs and symptoms of pingueculae

In most people, pingueculae cause few symptoms. However, a pinguecula that is irritated might create a feeling that something is in the eye – called a foreign body sensation. In some cases, pingueculae can become swollen and inflamed, a condition called pingueculitis. Irritation and eye redness from pingueculitis usually result from exposure to sun, wind, dust, or extremely dry conditions.

Treatment of pingueculae

The treatment for pingueculae depends on the severity of the growth and its symptoms. Everyone with pingueculae can benefit from sun protection for their eyes. Lubricating eye drops may be prescribed for those with mild pingueculitis to relieve dry eye irritation and foreign body sensation. To relieve significant inflammation and swelling, steroid eye drops or non-steroidal anti-inflammatory drugs may be needed.

Surgical removal of the pinguecula may be considered in severe cases where there is interference with vision, contact lens wear or normal blinking.

Frequently, pingueculae can lead to the formation of pterygia.

Pterygia

Pterygia (singular form = pterygium) are wedge- or wing-shaped growths of benign fibrous tissue on the surface tissue of the sclera. Because pterygia also contain blood vessels, they are considered a fibrovascular growth. In extreme cases, pterygia may grow onto the eye’s cornea and interfere with vision.

Because a pterygium is usually quite visible to others, a person who has one may become concerned about their personal appearance. As with pingueculae, prolonged exposure to ultraviolet light from the sun may play a role in the formation of pterygia.

Signs and symptoms of pterygia

Many people with pterygia do not experience symptoms or require treatment. Some pterygia may become red and swollen on occasion, and some may become large or thick. This may cause concern about appearance or create a feeling of having a foreign body in the eye. Large and advanced pterygia can actually cause a distortion of the surface of the cornea and induce astigmatism and blurred vision.

How pterygia are treated

The pterygia may be removed in a procedure room at the doctor’s office or in an operating room setting. A number of surgical techniques are currently used to remove pterygia, and it is up to your eye doctor to determine the best procedure for you.

After the procedure, which usually lasts no longer than 30 minutes, you may need to wear an eye patch for protection for a day or two. For uncomplicated surgery, you should be able to return to work or normal activities the next day.

Unfortunately, pterygia often return after surgical removal. In fact, the recurrence rate can be as high as 40%. To prevent regrowth after the pterygium is surgically removed, your eye surgeon may suture or glue a piece of surface eye tissue onto the affected area. This method, called autologous conjunctival autografting, is safe and lowers the chance of the pterygium growing back. After removal of the pterygium, steroid eye drops may be used for several weeks to decrease swelling and prevent regrowth.

It is important to note that pterygium removal can also induce astigmatism, especially in patients who already have astigmatism.

 

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Our office will be opening on Monday, May 18th. We will be following all CDC guidelines as well as those recommended by our National and State Organizations including the KOA and AOA as well as the Governor of Kentucky. We will be adding to our protocol to ensure the safety of our patients and staff. Due to the recommendations, we are following, all patients will need to call from the parking lot when they arrive. We will ask you if you are running a fever, or have symptoms of COVID-19. We may even take your temperature to keep for our records. We will ask that you remain in your car until we notify you to come to our office.

All patients entering the building must wear a mask or face covering.

We ask for your patience over the next few months as we work to get our patients rescheduled that had to be canceled during the closure. We will not be working at full capacity for some time and realize this will most likely cause delays in getting people rescheduled. We will also not be taking walk-in patients and ask that you please call if you need to be seen to set up an appointment. Please know that we are doing everything we can to take care of our patients during these difficult times.

You now can order contacts from the convenience of your home on our website by clicking here.
If you do not know your current prescription, please email us at dr.glenn0180@gmail.com or call us at 859-271-6194.
If you have insurance you would like to use, you will need to call us and we will be happy to place the order for you and submit it to your insurance.

Thank you and we look forward to seeing you all soon,

Dr. Jason Glenn and Staff