The Key Difference
Pinguecula
A bump that stays put — it doesn't extend onto the cornea or threaten vision.
Pterygium
A growth that can spread and distort vision if it reaches the cornea.
What Causes Them?
Both are UV-related degenerative conditions of the conjunctiva, driven by:
UV Exposure
Dry Eye
Dust & Wind
Canberra's high year-round UV levels make these conditions particularly common locally.
Symptoms & Effect on Vision
| Pinguecula | Pterygium | |
|---|---|---|
| Symptoms | Mild irritation, redness, foreign-body sensation | Dryness, redness, itching, possible blurred vision |
| Affects vision? | Generally no | Can, if it extends onto the cornea |
| Typical treatment | Lubricating drops, UV protection | Drops for mild cases; surgery if progressive |
Noticed a growth or persistent redness on your eye?
A quick slit-lamp examination can confirm what it is and the right treatment path.
Diagnosis & Treatment
Diagnosis involves a comprehensive eye exam using a slit-lamp microscope to assess the growth's size, progression and corneal involvement — no invasive testing is typically needed.
Pinguecula Management
- • Lubricating eye drops
- • Anti-inflammatory drops if needed
- • UV protection
- • Surgery rarely needed
Pterygium Treatment
- • Lubricating and anti-inflammatory drops for mild cases
- • Surgical removal if progressive or vision-affecting
- • Conjunctival autograft and tissue glue reduce recurrence
Pinguecula can progress to pterygium
Conclusion
Both conditions are common, generally harmless, and well-managed when caught early. The main thing to watch for is whether a growth is spreading toward the cornea or affecting your vision — if so, it's worth getting it assessed rather than waiting.
Frequently Asked Questions
A pinguecula typically stays stable after treatment. A pterygium can recur even after surgery, though advanced techniques like conjunctival autografts significantly lower the recurrence rate.

Written by
Dr Parth ShahDr Parth Shah has 10 years of surgical experience specialising in corneal and external eye diseases, with an evidence-based approach to treatment.
Get an accurate diagnosis
Book a consultation to find out whether your growth is a pinguecula or pterygium, and the right next step.


