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
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