Date amended:
External
Statements of Principles
Current RMA Instruments:

Reasonable Hypothesis SOP

60 of 2024

Balance of Probabilities SOP

61 of 2024
Changes from previous instruments:
ICD Coding:
  • ICD-10-AM Codes: H11.1
Brief description

A pinguecula is a common non-cancerous lesion that grows as part of conjunctiva degeneration. The conjunctiva is the clear tissue covering the sclera (white part of the eye) and a pinguecula manifests as a yellow or white fatty deposit on the sclera- usually on the nasal side (closer to the nose). However, they can sometimes also occur on the temporal side (closer to the ear).

Confirming the diagnosis

The diagnosis is made on clinical grounds, based on the typical appearance and location of the lesion.

Optometrists or ophthalmologists are usually required for confirming this diagnosis. 

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • Pterygium *

    * another SoP applies

Clinical onset

Clinical onset will generally correspond with the date of diagnosis. The condition is usually asymptomatic but can sometimes be associated with redness, irritation, dryness or a sensation of something being present in the eye. 

Clinical worsening

The SOP has only an inability to obtain appropriate clinical management factor for worsening. Often, the condition does not require treatment. However, if there are symptoms or if the pinguecula causes significant discomfort then treatment may involve eye drops or surgical removal.