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If the growth of the pinguecula is disturbing the appearance, the bumps or spots that form can be removed by surgery. Surgical options can also be considered if the pinguecula has interfered with vision, or if it continues to cause inflammation and discomfort despite treatment. If the pinguecula needs to be treated with surgery, the doctor can transplant a piece of normal tissue where the pinguecula starts. This is done to prevent lumps or spots from reappearing. Pinguecula .