Pinguecula vs Pterygium - What is the Difference?

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Medically Reviewed by Dr. Aman Priya Khanna
Written by Nikita Tyagi, last updated on 19 January 2023
Pinguecula vs Pterygium - What is the Difference?

Are you witnessing abnormal growths on the surface of your eye? You may be suffering from either a pinguecula or a pterygium. While the names of these conditions may seem unfamiliar, they are pretty common eye conditions in middle-aged and older adults. 

Both pinguecula and pterygium are benign growths that develop on the conjunctiva due to exposure to ultraviolet (UV) radiation. However, there are some differences between these two conditions. The following blog compares the meaning, symptoms, causes, diagnosis, and treatments of pinguecula vs pterygium. Read on to find out. 

What is Pinguecula?

Pinguecula is a small, raised yellowish or white growth on the conjunctiva (white part of the eye). While it can occur on either side of the eye (inner or outer), it is limited to the conjunctiva and does not progress onto the cornea (the eye’s clear surface). 

  1. A pinguecula contains deposits of fat, protein, or calcium. 
  2. Mostly, this condition does not affect vision. However, in severe cases, it may interfere with how tears cover your eye. 
  3. Pinguecula eye treatment does not usually include surgery.
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What is Pterygium?

Pterygium, also known as a surfer's eye, is a raised, wedge-shaped fleshy growth of the conjunctiva that may develop in one or both eyes. 

  1. Pterygium often starts as a pinguecula. It starts in the inner corner of the eye and moves towards the iris. 
  2. It can remain small or proliferate to extend over the cornea. 
  3. Pterygium usually does not cause any symptoms. However, when it grows, it may feel uncomfortable and affect vision.  

Difference between Pinguecula vs Pterygium

The primary difference between pinguecula vs pterygium is that:

  1. Pterygium is much more obvious than pinguecula as the former grows on the cornea, whereas a pinguecula does not progress onto the cornea. 
  2. Unlike a pinguecula, a pterygium has blood vessels and comes in different colours like red, pink, white, or yellow. 
  3. Furthermore, a pinguecula is not harmful to your vision. However, a pterygium can affect vision if it proliferates. 

The symptoms and causes of these eye conditions are more or less similar. The following table compares the symptoms and causes of pinguecula vs pterygium:

Parameter Pinguecula Pterygium

Signs and Symptoms

  1. A small, yellow bump or patch on the conjunctiva
  2. Dry eyes
  3. Red, itchy, irritated, or swollen eyes
  4. Teary eyes
  5. Feeling like you have a foreign object (sand or grit) in the eye

A pterygium usually does not cause any symptoms or may cause the following mild symptoms in the early stage:

  1. Raised pink growth on the eye
  2. Dry, itchy, or burning eyes
  3. Red, irritated, or swollen eyes
  4. Teary eyes
  5. Feeling like you have a foreign object (sand or grit) in the eye
  6. Contact lens discomfort

Late signs and symptoms include:

  1. Increase in the size of the lesion
  2. Blurred or double vision (when pterygium progresses onto the cornea)
  3. The unpleasant appearance of the eye
Causes

A change in the conjunctiva causes pinguecula. This change may result from:

  1. Long-term exposure to ultraviolet (UV) light
  2. Frequent exposure to wind and dust
  3. Increasing age

The exact cause is unknown. However, the possible explanation includes the following:

  1. Long-term exposure to ultraviolet (UV) light
  2. Frequent exposure to dust, wind, sand, pollen, or smoke

The diagnosis and treatment of pinguecula vs pterygium are as follows:

Parameter

Pinguecula Pterygium
Diagnosis

Physical eye exam: The doctor uses a microscope (slit lamp) to focus a bright light on the eye to look at the front and inside of the eye.

  1. Physical eye exam: The doctor uses a microscope (slit lamp) to focus a bright light on the eye to look at the front and inside of the eye. 
  2. Visual acuity test: The test checks your vision clarity by reading letters on a chart 20 feet away. 
  3. Corneal topography: The test measures your cornea's curvature changes using a 3D map of the cornea's surface. 
  4. Photo documentation: The procedure involves taking pictures of the eye to track pterygium growth over time. 
Treatment

You may not need pinguecula eye treatment if you do not experience eye discomfort. If it causes discomfort, the doctor may prescribe:

  1. Over-the-counter eye ointments, artificial tears, or prescription lubricating drops
  2. A short course of eye ointments or steroid eye drops to relieve redness and irritation
  3. If the pinguecula becomes too uncomfortable, close to your iris, or affects your vision, you may need the following:
  4. Surgery to remove pinguecula
  5. Argon laser photocoagulation: an alternative to surgery that uses a high-power laser to remove thicker pinguecula or a low-power laser to remove thinner pinguecula

You will not need treatment if pterygium does not cause discomfort or interfere with your vision. If it does cause discomfort, the doctor may prescribe:

  1. Over-the-counter eye ointments, artificial tears, prescription lubricating drops, or decongestant drops
  2. Eye ointments, or steroid eye drops to relieve redness, pain, itching, or inflammation
  3. Pterygium excision surgery is required when eye drops or ointments do not relieve symptoms or when pterygium causes vision loss or blurry vision
Complications

Pinguecula rarely cause any complications. When they do, complications can include:

  1. It can develop into a pterygium
  2. Corneal Dellen: cornea can dry out and lead to corneal thinning
  3. Chronic actinic keratopathy: symmetric corneal dystrophy

If a pterygium is left untreated, the growth can extend across the pupil, leading to

  1. Astigmatism: an imperfection in the curvature that can cause blurred vision
  2. Corneal scarring: which occur in rare cases.

Preventive Measures for Pinguecula and Pterygium

Although pinguecula and pterygium are not dangerous conditions, it is always better to protect them to avoid any discomfort. The following are some tips to prevent the development of these eye conditions:

  1. Wear brimmed hats and wraparound sunglasses with UV protection when outside, even when it is cloudy, raining, or snowing. 
  2. Wear protective eyewear while working in a dusty or dry environment. 
  3. Use artificial tears to keep the eyes moist and reduce inflammation and irritation. 
  4. Regularly observe changes in the appearance of the eye. 

When Should you Consult an Eye Doctor?

It is recommended to consult a doctor if a pterygium or pinguecula is causing symptoms such as:

  1. Redness and irritation.
  2. You notice vision changes.
  3. The conditions do not improve with medications.
  4. If the condition proliferates. 

In addition, it is also recommended to consult a doctor if the pterygium or pinguecula is affecting the cosmetic appearance of the eye. In general, it is always best to consult with an eye doctor if you have any concerns about your eye health.

Takeaway

Prevention is the gold standard in reducing the chances of pinguecula and pterygium. It is important to wear sunglasses for eye protection from UV rays, wind, dust, smoke, and other environmental elements. Since these conditions usually do not cause symptoms, they do not require treatment in most cases. However, when they do cause discomfort, certain management techniques can help you relieve symptoms. 

If you have any more doubts about pinguecula vs pterygium or are suffering from the symptoms mentioned above, contact an HexaHealth expert TODAY! Our team will help you diagnose the condition and discuss the available treatment options. Furthermore, we will connect you with the right surgeon at the right hospital in case you need surgery to remove a pinguecula or pterygium. 

Frequently Asked Questions

How can one tell the difference between pinguecula vs pterygium?

The difference between pinguecula and pterygium can be determined through their appearance. A pinguecula is a raised, yellow or white growth next to the cornea. On the other hand, a pterygium is a fleshy growth on the conjunctiva that progresses onto the cornea. 

What are a pinguecula and a pterygium?

Both pinguecula and pterygium are abnormal, noncancerous growths of the conjunctiva. A pinguecula is a raised, yellow growth that develops near the edge of the cornea. On the other hand, a pterygium is a wedge-shaped growth that progresses onto the cornea. 

Does pinguecula turn into pterygium?

Yes, a pinguecula can turn into a pterygium. A pinguecula is a growth of the conjunctiva that develops near the edge of the cornea. However, when a pinguecula grows, it may become a pterygium that progresses onto the cornea, blocking vision. 

Can a pinguecula go away without surgery?

No, a pinguecula does not go away on its own. The only way to remove a pinguecula is through surgery. However, it usually does not need to be removed as it does not cause any vision problems. Discomfort caused due to this condition can be relieved through eye ointments and eye drops.

Can eye drops remove pterygium?

Eye drops can help treat redness and irritation caused by pterygium. However, if eye drops do not provide relief, the doctor may suggest surgery to remove the pterygium. 

How long will pinguecula last?

 Since a pinguecula can't go away on its own, it will last until it is treated. Eye ointments or drops can resolve a pinguecula within two to four weeks. Full recovery from surgery can take up to a month. 

Does a pinguecula in the eye go away?

Once a pinguecula forms in the eye, it does not disappear. The only way to remove this yellowish-white bump is by surgery. 

What eye drops are used to treat pinguecula?

Eye drops such as Systane Plus or Blink lubricants can treat the redness and irritation caused by a pinguecula. For inflammation, the doctor may prescribe a course of non-steroidal anti-inflammatory drops, such as Voltaren Ophtha or Acular. 

Is a pinguecula permanent?

A pinguecula can be present in one or both eyes and is relatively permanent as it cannot go away on its own. However, there are effective ways, like surgery, to help eliminate pinguecula if it causes problems. 

Do sunglasses help pinguecula?

Prolonged exposure to ultraviolet rays can be harmful to the eyes. Thus, sunglasses can help protect the eyes from these rays and prevent pinguecula from developing. Wearing sunglasses with wraparound frames can offer the best protection from the sun's ultraviolet light. 

Can you shrink pinguecula?

 A pinguecula rarely requires treatment. However, if it is bothersome, you can get surgery to remove the pinguecula. 

How do you stop pinguecula from getting worse?

 To prevent pinguecula from getting worse, you must do the following:

  1. Wear sunglasses and a wide-brimmed hat to protect your eyes from UV light when you are outside. 
  2. Use artificial tears to keep the eyes moist and prevent irritation.
  3. Regularly observe changes in the appearance of the eye. 

What causes pinguecula to flare up?

Pinguecula is generally believed to develop in people with dry eyes. The condition flares up when exposed to ultraviolet light, wind, dust, or smoke. 

Updated on : 19 January 2023

Reviewer

Dr. Aman Priya Khanna

Dr. Aman Priya Khanna

MBBS, DNB General Surgery, Fellowship in Minimal Access Surgery, FIAGES

12 Years Experience

Dr Aman Priya Khanna is a well-known General Surgeon, Proctologist and Bariatric Surgeon currently associated with HealthFort Clinic, Health First Multispecialty Clinic in Delhi. He has 12 years of experience in General Surgery and worke...View More

Author

Nikita Tyagi

Nikita Tyagi

BPharm (Jawaharlal Nehru Technical University, Hyderabad)

2 Years Experience

An enthusiastic writer with an eye for details and medical correctness. An avid reviewer and publisher. She emphasises authentic information and creates value for the readers. Earlier, she was involved in making ...View More

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