Black Spots and Pinguecula in Your Eyes: Expert Insights - Ophthalmology

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Hello Ah Xiang,
Thank you for your questions regarding the black spot in your eye and the recent appearance of pinguecula. I will address each of your concerns in detail.

1. Black Spot from Past Injury: The small black spot you mentioned on the sclera (the white part of your eye) is likely a result of the injury you sustained while wearing contact lenses. This could be a scar or a localized pigmentation change. Surgical removal of such spots is possible, but it depends on the specific characteristics of the lesion and its impact on your eye health. Generally, this type of procedure can be performed by an ophthalmologist, and many eye clinics can handle such cases. However, if the lesion is complex or if there are concerns about underlying issues, a referral to a larger hospital or a specialized eye center may be necessary. It’s best to consult with an ophthalmologist who can assess the spot and discuss the potential for surgical removal.

2. Pinguecula (Yellowish Spots): The yellowish spots you are noticing on the sclera are likely pingueculae, which are benign growths that often occur due to UV exposure, aging, or irritation. Here are the answers to your specific questions about pinguecula:
- (1) Will pinguecula grow larger with age?: Yes, pingueculae can become more prominent over time, especially with continued exposure to UV light and environmental irritants. They are generally harmless but can be a cosmetic concern for some individuals.

- (2) How to slow the growth of pinguecula?: To help prevent the progression of pinguecula, consider the following measures:
- Wear UV-blocking sunglasses when outdoors to protect your eyes from harmful sunlight.

- Use artificial tears to keep your eyes lubricated, especially if you are in dry or windy environments.

- Avoid irritants such as smoke and dust, which can exacerbate the condition.

- (3) Is there a chance for pinguecula to regress?: Pingueculae typically do not regress on their own. They may remain stable or become more pronounced over time. If they become inflamed or bothersome, treatment options are available.

- (4) Can pinguecula be surgically removed?: Yes, if a pinguecula becomes bothersome or if you wish to have it removed for cosmetic reasons, surgical excision is an option. This procedure is usually performed by an ophthalmologist, and it is relatively straightforward. However, there is a risk of recurrence after surgery, so it’s important to weigh the benefits and risks with your doctor.

In summary, while the black spot from your past injury may be removable, the pinguecula is generally benign and can be managed with protective measures. If you have concerns about either condition, I recommend scheduling an appointment with an ophthalmologist for a thorough examination and personalized advice. They can provide you with the best options based on your specific situation.

Thank you for reaching out, and I hope this information helps clarify your concerns. Please take care of your eye health, and don’t hesitate to seek professional advice for any changes in your vision or eye appearance.