University of Iowa Health Care

Ophthalmology and Visual Sciences

EyeRounds Online Atlas of Ophthalmology

Contributor: William Charles Caccamise, Sr, MD, Retired Clinical Assistant Professor of Ophthalmology, University of Rochester School of Medicine and Dentistry

*Dr. Caccamise has very generously shared his images of patients taken while operating during the "eye season" in rural India as well as those from his private practice during the 1960's and 1970's. Many of his images are significant for their historical perspective and for techniques and conditions seen in settings in undeveloped areas.

Category: External Disease


conjunctiva: pinguecula

The photo shows an unusually large pinguecula involving the nasal bulbar conjunctiva. Although it appears to consist of fat, it actually consists of conjunctival tissue involved with elastic tissue degeneration. Histologically, it is similar to a pterygium without corneal involvement.

Pinguecula? Starting point for a pterygium?

pinguecula-? starting point for a pterygium

Since the conjunctival component of a pterygium is identical to a pinguecula, it has been claimed by some pathologists that the pterygium originates from a pinguecula.


Pinguecula - inflamed

Contributor: Andrew Doan, MD, PhD, University of Iowa

Category: External Disease

pinguecula - inflamed


Creative Commons License
Ophthalmic Atlas Images by, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

last updated: 02-08-2008