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Inflamed Pinguecula

Inflamed pingueculum

What is it?
An inflamed pinguecula is a focal elevation of hyperemic nasal or temporal bulbar conjunctiva. It may be caused by excessive exposure to ultraviolet light. It may resolve spontaneously, but gets better faster with artificial tears or topical vasoconstrictor drops.

How does it present?
With mild-moderate ocular discomfort and a red mound in the nasal or temporal canthus. It is easily confused with episcleritis and scleritis although it is less inflamed.

What to do?
Prescribe topical over-the-counter vasoconstrictors (like Murine or Visine). If they do not work within 72 hours, refer to an ophthalmologist.

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