Bumps on the White of the Eye

There are two types of benign growths that can appear on the white of the eye (conjunctiva).
eye bumpThe first type is called a Pinguecula. A pinguecula is a benign growth caused by the degeneration of the conjunctiva’s collagen fibers. Thicker yellow tissue and in some cases calcified deposits, eventually replace the original fibers. It often appears as a thickened, discolored spot between the colored part of the eye and the nose. It is more common in individuals who spend a lot of time outdoors with continued exposure to the ultraviolet light or those who live in sunny, windy equatorial climates. The affected eye might become red and irritated. No treatment is necessary unless discomfort is severe. Prevention is highly recommended and that means sunglasses when outdoors. Artificial tears can help with irritation.

The second type of benign bump on the eye can actually be more problematic. A Pterygium is an elevated, triangular, non-cancerous Pterygiumgrowth that is also usually on the nasal side of the eyeball. A pterygium contains blood vessels and can be of greater cosmetic concern than the pinguecula. The difference between a pterygium and a pinguecula is the tissue they invade. The pinguecula is limited to the conjunctiva and the pterygium grows onto the cornea (clear part of the eye). A small pterygium is treated with artificial tears for comfort and sunglasses for prevention. Sometimes surgery is needed if the vision is affected.

Genetics can play a role in the possibility of having either of these bumps. Wearing protection from UV is your best chance of preventing or controlling pinguecula and pterygia.

 

Red Spot on the Eye

Many of us have had a blood red spot on the white of the eye at one time or another. Usually there was no injury or discomfort. Many people wake-up with the red spot and may not even be aware of it until a family member or co-worker points it out. Subconjunctival hemorrhages look worse than they are and do not need treatment.

moderate blood on eye The conjunctiva is a thin membrane that covers the inner surface of the eyelid and the white part of the eyeball. The conjunctiva contains many small, fragile blood vessels that are easily ruptured or broken. Subconjunctival hemorrhage occurs when a small blood vessel in the conjunctiva breaks and bleeds. It may occur spontaneously or from heavy lifting, coughing or vomiting. In some cases, it may develop following eye surgery or trauma. Subconjunctival hemorrhage tends to be more common among those with diabetes and hypertension.

Certain medications can make the bleeding worse, including: Coumadin, Aspirin, Plavix, St. John’s Wort and Ginkgo.

While it may look frightening, a subconjunctival hemorrhage is essentially harmless. The blood from the broken conjunctival vessel becomes trapped in the space underneath the clear conjunctival tissue. The blood naturally absorbs within one to three weeks and may turn greenish or yellow during this time.

A subconjunctival hemorrhage does not affect vision or cause pain, and treatment is usually not required. Exceptions are when the bleeding is a result of trauma or injury, the redness lasts more than 10 days or when it recurs again.

And of course, if you are unsure call our office. (707)762-8643