A Large Unilateral Temporal Pinguecula in a Young Pediatric Patient

Purpose: To report a case ofpinguecula in an otherwise healthy pediatric patient with no significant risk factors.

Observations: A 7-year-old male with no significant past medical history presented with a unilateral, painless lesion of theleft temporal conjunctiva accompanied by injection and chemosis for the past few months. 

Conclusions and Importance: Although extremely rare in the pediatric population, pinguecula should be considered in the differential diagnosis for patients presenting with conjunctival lesions. Patients should be counseled on the importance of sun protection and managed symptomatically to prevent complications and progression. 

Keywords: pinguecula; pediatric; sun exposure; conjunctiva.