Pinguecula is a round, yellowish, elevated tissue that develops on the conjunctiva adjacent to the cornea. Generally speaking, an asymptomatic pinguecula requires no treatment, but its yellowish and raised contour can cause mechanical or poor tear film-related ocular surface irritation. When the lesion becomes vascularized and/or inflamed, it can produce symptoms of ocular discomfort, pain, foreign body sensation, tearing, itching and redness.