This guideline last updated 06/05/2022 17:48:44

Differential diagnosis

• Pterygium
• Conjunctival intraepithelial neoplasia (CIN)
• Dermoid cyst
• Epithelial retention cyst (thin-walled lesion containing clear fluid)
• Episcleritis
• Conjunctivitis

Possible management by Optometrist

Treatment

• Cold compresses when inflamed
• Ocular lubricants for symptomatic relief (drops for use during the day, unmedicated ointment for use at bedtime
• PoM Pingueculitis usually responds to a brief course of a ‘non-penetrating’ topical steroid
  • Fluorometholone 0.1% eye drops 4x daily (reduce by 1 drop a week to zero)

Advice

• Reassure patient about benign nature of the lesion
• Advise on UV protection to minimise risk of inflammation
  • Brimmed hat
  • Sunglasses in wrap-around style for side protection

Management Category

• Normally no referral

Possible management by Ophthalmologist

• Excision is very rarely warranted