Case of argon laser photoablation of pinguecula

Case of argon laser photoablation of pinguecula Pingueculae are yellow‐white to gray‐white elevated subconjunctival masses on the anterior bulbar conjunctiva, most commonly occurring in the interpalpebral zone near the limbus, more often on the nasal side. They are usually thought to be caused by ultraviolet radiation, and the prevalence increases with age. They may sometimes become inflamed and cause irritation. Pingueculitis can be treated with topical corticosteroids, non‐steroidal anti‐inflammatory drugs and lubricants; and excision can also be considered when they cause cosmetic problems or become chronically inflammed. We hereby report a case of pinguecula successfully removed with argon laser photoablation. A 48‐year‐old woman visited our clinic with an elevated white dot on her conjunctiva in her right eye, which she first noticed 3–4 years ago. She complained of occasional vague discomforts such as ‘stiffness’ and ‘tightening sensation’ in her right eye. She also said that the area recurrently got injected, and although not long‐lasting, caused cosmetic problems frequently. She had not received any previous treatment besides topical lubricants, which did not resolve the problem much, and visited our clinic for removal of the lesion. Her uncorrected visual acuities were 6/4.5 in both eyes. On slit‐lamp biomicroscopy, there was a yellow‐white elevated amorphous subconjunctival lesion on http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Clinical & Experimental Ophthalmology Wiley

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Publisher
Wiley
Copyright
© 2010 The Authors. Clinical and Experimental Ophthalmology © 2010 Royal Australian and New Zealand College of Ophthalmologists
ISSN
1442-6404
eISSN
1442-9071
DOI
10.1111/j.1442-9071.2010.02308.x
pmid
20456434
Publisher site
See Article on Publisher Site

Abstract

Pingueculae are yellow‐white to gray‐white elevated subconjunctival masses on the anterior bulbar conjunctiva, most commonly occurring in the interpalpebral zone near the limbus, more often on the nasal side. They are usually thought to be caused by ultraviolet radiation, and the prevalence increases with age. They may sometimes become inflamed and cause irritation. Pingueculitis can be treated with topical corticosteroids, non‐steroidal anti‐inflammatory drugs and lubricants; and excision can also be considered when they cause cosmetic problems or become chronically inflammed. We hereby report a case of pinguecula successfully removed with argon laser photoablation. A 48‐year‐old woman visited our clinic with an elevated white dot on her conjunctiva in her right eye, which she first noticed 3–4 years ago. She complained of occasional vague discomforts such as ‘stiffness’ and ‘tightening sensation’ in her right eye. She also said that the area recurrently got injected, and although not long‐lasting, caused cosmetic problems frequently. She had not received any previous treatment besides topical lubricants, which did not resolve the problem much, and visited our clinic for removal of the lesion. Her uncorrected visual acuities were 6/4.5 in both eyes. On slit‐lamp biomicroscopy, there was a yellow‐white elevated amorphous subconjunctival lesion on

Journal

Clinical & Experimental OphthalmologyWiley

Published: Oct 1, 2010

References

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