- 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 and individual needs:
Conservative Management
For mild cases, we recommend:
- Artificial tears: Lubricate and soothe the eyes
- Steroid eye drops: Reduce inflammation (short-term use under supervision)
- Protective eyewear: UV-blocking sunglasses with a wrap-around design
Surgical and Laser Intervention
Surgical or laser treatment is considered if:
- The growth causes severe discomfort
- It interferes with vision or cosmetic appearance
- It fails to respond to conservative treatments
Surgical removal of pinguecula is available at our Harley Street (London), Chelmsford, and Hatfield clinics. The procedure is performed under local anaesthesia, with the growth precisely excised and a conjunctival graft applied to reduce the risk of recurrence. Recovery typically takes 2–4 weeks. Surgery is rare (less than 5% of cases), but when needed, our ophthalmologists use minimally invasive techniques for optimal outcomes.
Argon laser photocoagulation of pinguecula is an advanced, minimally invasive option available exclusively at our Harley Street eye centre. This technique can be suitable for select cases, offering a rapid recovery and excellent cosmetic results.
Our team will discuss the most appropriate treatment for your unique situation, ensuring you receive the highest standard of care at every stage.
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 London 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.
