Pyogenic Granuloma

• A misnomer because neither granulomatous inflammation nor pyogenic process is present.
• Aberrant wound healing process, which results in fibrovascularized tissue growth.
• Rarely occur spontaneously.
• Usually occurs over chalazion, after conjunctival surface surgery such as strabismus surgery, or pterygium removal, chronic irritation from nasolacrimal tubing or punctal plugs.

Clinical Features

• Symptoms:
  • Irritation
  • May cause inadequate lid closure or corneal dellen if located near the limbus
• Signs:
  • Initially presents as ovoid mass with pedunculated base, which may broaden over time
  • Fibrous adhesion to the underlying sclera.
• Treatment of choice: simple excision at of the base of the lesion.