This is a fatty degeneration of the conjunctiva overlying the inner or (less commonly) outer part of the white of the eye. It is caused by sunlight damage on the tissues, and in some people is exacerbated by long-term use of contact lenses, particularly rigid lenses.

Pingeculum

Pingeculum with LG stain showing exposed and dry areas

What are the symptoms?

In many cases there are no symptoms, but the pingeculum may be unsightly. When the pingeculum is raised up above the surrounding conjunctiva it may become exposed, with symptoms of grittiness, dryness and foreign body sensation. It may become inflamed and red, with enlarged blood vessels.

Post-operative pingeculum removal

Is there treatment available?

Many patients find their discomfort is eased by the use of articficial tear drops or ointments. Where the pingeculum is very unsightly, or uncomfortable, it may be surgically removed. This is usually done under local anaesthetic with eyedrops, or under general anaesthetic depending on patient preference.