I saw patient with this problme. Want to know diagnosis and any non surgical management

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Pinguecula : Rx : If there's pain & inflammation , nsaid tab . & Steroid with antibiotic eyedrops should be prescribed for 3 weeks in tapering doses . Otherwise no Rx is required.

inferiorly seen blue area indicate scleral thinning with uveal tissue prolapse Seem to be like necrotising scleritis

Main lesion is pinguecula. Bluish appearance is almost an artifact. Always diagnose common diseases. Necrotizing scleritis is very very rare . One more thing , when one diagnoses rare things , he /she is rarely going to be right.
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LIMBAL MASS  STRIOD EYEDROPS NON STERIODAL ANTI INFLAMMATORY EYE DROPS CT TREAMENT FOR 1 TO 15 DAYS PUT BOTH DROPS ONE DROP 3 TO 4 TIMES A DAY

Do CBC & ESR test , if abnormal & high treat it as scleritis with high dose of systemic steroids.

Start on carboxy methyl cellulose eye drops Qid for 1 monthand fluoromethalone eye drops qid tapered to od by 1-1.5 week

pterigium,follow up needed

Pterygium, require topical antibiotic +steroid treatment

Pterygium doesn't respond to any nonsurgical Rx.
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Should be case of episcleritis combined eye drop furbiprofen eye drop and combined eye oont. &NSAID would help.

Infammed pinguecule .lubricants steroids can be given

pterygium ! need surgery when it encroaches cornea

This is not pterygium. " Pterygium " word necessarily means that conunctiva has encroached on cornea .
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