MCQ – 84544

Identify the lesion in the given image.

A.	Spring catarrh
B.	Pterygium
C.	Retention cyst
D.	Pinguecula

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Correct Answer � D Explanation

• A pinguecula is a yellowish, slightly raised thickening of the conjunctiva on the white part of the eye (sclera), close to the edge of the cornea.

• They are bulbar conjunctival thickenings that adjoin the limbus in the palpebral fissure area.

• A pinguecula is a deposit of protein, fat, or calcium and has a fatty appearance.
• They are usually bilateral and elastotic degeneration of the collagen fibrils of the conjunctival stroma.
• They have an increased incidence of age-related macular degeneration.

Treatment:

• Pingueculitis responds to a brief course of NSAIDs or topical corticosteroids 
• Simple excision may be warranted in rare cases, wherein pingueculae may be chronically inflamed or cosmetically unsatisfactory.