- Medically Reviewed by Mr Mfazo Hove Consultant Ophthalmologist
- Author: Chris Dunnington
- Published: February 10, 2025
A pinguecula (pronounced pin-GWEK-yoo-la) is a common eye condition that many adults develop, particularly those exposed to sunlight or dusty environments. At Blue Fin Vision® Eye Clinic in London’s Harley Street, we specialise in diagnosing and managing pinguecula to ensure optimal eye health.
What is a Pinguecula?
A pinguecula is a benign, yellowish raised bump that forms on the conjunctiva – the thin, transparent membrane covering the white of the eye (sclera). Unlike a pterygium, it does not grow onto the cornea. While harmless, it can cause discomfort and cosmetic concerns.
Key Characteristics:
- Appearance: Yellowish or white, round/oval-shaped growth
- Location: Typically appears on the nasal side of the eye (near the nose)
- Texture: Slightly raised, fleshy deposit
Causes of Pinguecula
The exact pinguecula causes are linked to environmental factors and age-related changes:
- UV Light Exposure
Prolonged exposure to ultraviolet radiation is the primary risk factor. This explains higher prevalence in:
- Outdoor workers
- Residents of sunny climates
- Individuals who frequently ski or sail
- Environmental Irritants
- Dust
- Wind
- Dry air
- Air pollution
- Age
More common in adults over 40 due to cumulative sun exposure.
- Genetic Predisposition
Some individuals are more susceptible due to genetic factors.
Pinguecula Symptoms
Many patients experience no symptoms initially. When present, pinguecula symptoms may include:
- Gritty sensation (feeling of sand in the eye)
- Redness and mild inflammation
- Dry eyes or excessive tearing
- Occasional itching/burning
- Blurred vision (rare, if growth distorts tear film)
When to Seek Help: Consult our Harley Street eye clinic if you experience:
- Sudden growth changes
- Persistent pain
- Vision changes
Is Pinguecula Dangerous?
No, a pinguecula is not dangerous or cancerous. However:
- It may develop into pingueculitis (inflamed state)
- Large growths can interfere with contact lens wear
- Rarely progresses to pterygium (a more aggressive growth)
Regular monitoring at an eye clinic ensures early intervention if complications arise.
Pinguecula Treatment Options
At Blue Fin Vision®, we tailor pinguecula treatment to your symptoms:
Conservative Management
For mild cases:
- Artificial tears: Lubricate eyes
- Steroid eye drops: Reduce inflammation (short-term use under supervision)
- Protective eyewear: UV-blocking sunglasses with wrap-around design
Surgical Intervention
Recommended only if:
- Growth causes severe discomfort
- Interferes with vision/cosmetic appearance
- Fails to respond to conservative treatments
Surgical Procedure:
- Local anaesthesia applied
- Growth removed via precise excision
- Conjunctival graft applied (prevents recurrence)
- Recovery typically takes 2-4 weeks
Note: Surgery is rare (<5% of cases). Our London-based ophthalmologists use minimally invasive techniques for optimal outcomes.
Prevention Strategies
Reduce pinguecula risks with these evidence-based tips:
- Wear CE-marked sunglasses offering 100% UVA/UVB protection
- Use wide-brimmed hats in bright sunlight
- Apply preservative-free artificial tears in dry environments
- Avoid rubbing eyes to prevent irritation
- Attend annual eye exams at a reputable eye clinic
Why Choose Blue Fin Vision® for Pinguecula Care?
As a leading Harley Street eye clinic, we offer:
- Expert Diagnosis: Advanced imaging technologies like OCT and corneal topography
- Personalised Care: Tailored treatment plans from consultant ophthalmologists
- Cutting-Edge Techniques: Latest surgical methods for complex cases
- Central London Accessibility: State-of-the-art clinic near Marylebone Station
Conclusion
While a pinguecula is generally harmless, professional assessment ensures proper management and peace of mind. At Blue Fin Vision® Eye Clinic in London, we combine medical expertise with compassionate care to protect your ocular health.
Concerned about eye changes? Book a consultation with our specialists today. Early intervention helps maintain clear vision and comfortable eyes.
Contact Blue Fin Vision® Harley Street’s trusted eye clinic for pinguecula management and advanced ocular treatments.