A pinguecula is a benign condition and therefore requires no treatment unless the eye becomes inflamed into pingueculitis. Over the counter artificial tears are used as needed for dry eyes and non-steroidal anti-inflammatory or corticosteroid eye drops may be prescribed for pingueculitis. This is only a short term treatment to reduce the inflammation, which may return in the future. The steroid eye drops do not make the pinguecula go away. If it is a major cosmetic concern or if it causes discomfort or interferes with blinking the pinguecula may be surgically removed. Surgery is only done in severe cases and there is a high rate of reoccurrences after pinguecula surgery.
It is important to notify your eye doctor if you see any change in size, shape or color of your pinguecula.