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Utilization of services by legally blind patients in Western Australia

week. One month later, her visual acuities remained 6/4.5 in both eyes. She had no other discomforts. On slitlamp biomicroscopy, the pinguecula in her right bulbar conjunctiva had been completely removed with no remnants; and complete re-epithelization of the overlying conjunctiva had occurred. No injection or scarring was noted (Fig. 1c). At 1 year after treatment, her visual acuities remained 6/4.5 in both eyes, and she had no other complaints. On slit-lamp biomicroscopy, no recurrence or scarring in the area treated was noted; and the area showed no focal injection. Although surgical excision of the pinguecula can be considered for cosmetic purposes, conjunctival scarring or recurrence of the lesion may often occur, resulting in recurrence of the injection and often worsening the cosmetic effect. Previously, Norn reported 3 recurrences out of 13 cases of pingueculae excision during a 18-month follow-up period. Hence, ophthalmologists are usually reluctant to recommend surgical removal of pingueculae, if the associated symptoms are not severe. To our knowledge, there have been no previous cases of removal of pingueculae with laser photoablation reported. With laser photoablation, the pinguecula was completely removed, without scarring of the conjunctiva, and leaving no apparent injection of the previously involved area. Additionally, laser photoablation causes less discomfort to the patient during the procedure, and does not cause postoperative subconjunctival haemorrhage, and takes only a brief period of time, which all makes it more acceptable to the patient than surgical removal. Laser photoablation can be considered as an alternative to surgical excision, minimizing patient discomfort and conjunctival scarring, thereby maximizing the cosmetic effect and the patient’s satisfaction.