Associations
Harvest
Association with the transition from warm to cold weather, and its related status as the season of the primary harvest, has dominated its themes and popular images. In Western cultures, personifications of autumn are usually pretty, well-fed females adorned with fruits, vegetables and grains that ripen at this time. Many cultures feature autumnal harvest festivals, often the most important on their calendars. Still-extant echoes of these celebrations are found in the autumn Thanksgiving holiday of the United States and Canada, and the Jewish Sukkot holiday with its roots as a full-moon harvest festival of "tabernacles" (living in outdoor huts around the time of harvest). There are also the many festivals celebrated by indigenous peoples of the Americas tied to the harvest of ripe foods gathered in the wild, the Chinese Mid-Autumn or Moon festival, and many others. The predominant mood of these autumnal celebrations is a gladness for the fruits of the earth mixed with a certain melancholy linked to the imminent arrival of harsh weather. This view is presented in English poet John Keats poem To Autumn, where he describes the season as a time of bounteous fecundity, a time of mellow fruitfulness. In North America, while most foods are harvested during the autumn, foods usually associated with the season include pumpkins (which are integral parts of both Thanksgiving and Halloween) and apples, which are used to make the seasonal beverage apple cider. Melancholia
Autumn, especially in poetry, has often been associated with melancholia.
As a result, pingueculae tend to occur more often on the nasal side of the eye. While most pingueculae are found in people over the age of 40, they are not uncommon in 20- and 30-year-old adults who spend significant time in the sun. The surface of the conjunctival tissue overlying a pinguecula interferes with the normal spreading of the tear film. The tear ferning test reveals abnormalities of the mucous component of the tear film, making it useful as a predictor of a persons tolerance of hydrophilic soft contact lenses. Contact lens intolerance can also result from the elevation of the peripheral edge of the contact lens if it overlies a pinguecula. The plural form of pinguecula is pingueculae. Pinguecula is derived from the Latin word "pinguis" for fat or grease. Associated conditions
A pinguecula is one of the differential diagnoses for a limbal nodule. It may have an increased prevalence in Gauchers disease. Diagnosis
Diagnosis of pinguecula is usually done by an eye care professional during routine eye examination using slit lamp. Conjunctival biopsy may be advised if malignancy is suspected. Treatment
Pingueculae may enlarge slowly over time, but are a benign condition, usually requiring no treatment. Artificial tears may help to relieve discomfort, if it occurs. If cosmesis is a concern, or if there is discomfort in contact lens use, surgical excision may be done. Occasionally, a pinguecula may become inflamed, a condition called pingueculitis. The cause of pingueculitis is unknown and there are no known infectious agents associated with it.