Infected conjunctival pyogenic granuloma at strabismus surgery site mimicking conjunctival abscess

AlHarkan, Dora H.; AlOdan, Hessah A.

doi:10.1016/j.sjopt.2018.07.001

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…AlHarkan and AlOdan reported the case of a four-year-old girl who underwent a strabismus surgery for exotropia and presented three weeks later with what appeared to be a large conjunctival abscess at the surgical site. The mass was excised, and histopathology showed inflammatory cells and histiocytes [ 4 ]. Atzrodt and colleagues reported the case of a 40-year-old male who had been diagnosed to have a stable conjunctival nevus [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Conjunctival Pyogenic Granuloma Masquerading as Malignant Melanoma

Rao¹,

Furniturewala²,

Gopinathan³

et al. 2021

Cureus

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Pyogenic granuloma is a common, benign, vascular growth that often appears as a rapidly growing mass on mucus membrane-lined surfaces such as the conjunctiva. Conjunctival pyogenic granulomas are common following trauma, burst chalazion or ill-fitting prosthesis. Also known as 'lobular capillary hemangiomas', these lesions typically appear bright red, fleshy and pedunculated. Treatment options include excision, topical steroid therapy and topical beta-blocker therapy. In this communication, the authors describe a rapidly enlarging, pedunculated black coloured conjunctival mass lesion in a 44-year-old woman, who had a recent history of chalazia. Given the location and the clinical appearance, a melanocytic tumour was suspected and the mass was excised. Histopathology and immunohistochemical studies confirmed the diagnosis to be consistent with that of a a necrotic pyogenic granuloma. Pigmented lesions of the conjunctiva, especially rapidly enlarging ones, need to be viewed with a high degree of suspicion to rule out malignant melanoma. Rarely though, benign lesions such as pyogenic granulomas that undergo necrosis may masquerade as conjunctival melanomas.

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Section: Discussionmentioning

confidence: 99%

Conjunctival Pyogenic Granuloma Masquerading as Malignant Melanoma

Rao¹,

Furniturewala²,

Gopinathan³

et al. 2021

Cureus

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“…Causes of adnexal pyogenic granuloma are trauma, previous surgeries (entropion repair, dacryocystorhinostomy with stent tube or jones tube, tarsorrhaphy), chalazion, punctal plug insertion, and idiopathic [4][5][6][7]. Causes of conjunctival pyogenic granuloma are trauma, infection, surgeries (pterygium excision, strabismus surgery, scleral buckle), post-Ahmed valve implantation, and scleral prosthesis [8][9][10][11][12][13]. Causes of pyogenic corneal granuloma are previous corneal surgeries [6], trauma, and infectious keratitis [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Pyogenic granuloma of eyelid: A literature review and case report

Dasari¹,

KVV²,

Vedula³

2022

J Med sci Res.

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Pyogenic granuloma is an acquired vascular proliferative lesion with associated inflammation, affecting the skin and mucous membranes more frequently. Ocular pyogenic granulomas are rare, involving adnexa, conjunctiva, and cornea. Eyelid pyogenic granuloma is uncommon, associated with chalazion, lid surgeries, lacrimal sac procedures, trauma, predisposing cutaneous lesions, congenital capillary malformations, and idiopathic. We report a case of a 40-year-old male patient who attended our outpatient department with right eye upper lid painless growth, gradually increasing in size in the last two months. The differential diagnosis was burst chalazion, capillary haemangioma, molluscum contagiosum, pilomatricoma, basal cell carcinoma, squamous cell carcinoma, and Kaposi's sarcoma. The lesion was surgically excised, and histopathological examination confirmed the diagnosis. There was no recurrence. This present case illustrates the importance of considering benign inflammatory causes in the differential diagnosis of eyelid mass lesions to avoid unnecessarily aggressive intervention.

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“…Subconjunctival abscesses are usually caused by a bacterial infection associated with a previous trauma or surgery or may be secondary to a systemic infection. 1 , 2 , 3 Non-infectious etiologies are rarely reported but can occur spontaneously. 4 , 5 , 6 Described herein is a case of an aseptic systemic abscess presenting as a sterile subconjunctival abscess associated with ulcerative colitis (UC) which was successfully treated with high-dose glucocorticoids and tumor necrosis factor alpha inhibitor.…”

Section: Introductionmentioning

confidence: 99%

Sterile subconjunctival abscess in an HLA-B51-positive patient with ulcerative colitis

Kukimoto

Honda

Yokogawa

et al. 2021

American Journal of Ophthalmology Case Reports

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Purpose To report a rare case of aseptic abscess presenting as a subconjunctival abscess in an HLA-B51-positive patient with ulcerative colitis. Observations A 25-year-old, male, Japanese patient with ulcerative colitis presented with an unilateral subconjunctival abscess. Infective endocarditis with endophthalmitis was suspected of being the cause, and systemic antimicrobial therapy was begun. The patient became critically ill and experienced the complication of heart failure with mitral valve perforation but improved dramatically with high-dose corticosteroids and intravenous infliximab following mitral valvuloplasty. His HLA typing was positive for HLA-B51. Conclusions and importance Both infectious and non-infectious etiologies should be considered in a patient with a subconjunctival abscess with systemic inflammation. An aseptic abscess can present as a subconjunctival abscess, and HLA-B51 may play a role in the pathogenesis of this rare condition.

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Infected conjunctival pyogenic granuloma at strabismus surgery site mimicking conjunctival abscess

Cited by 3 publications

References 11 publications

Conjunctival Pyogenic Granuloma Masquerading as Malignant Melanoma

Conjunctival Pyogenic Granuloma Masquerading as Malignant Melanoma

Pyogenic granuloma of eyelid: A literature review and case report

Sterile subconjunctival abscess in an HLA-B51-positive patient with ulcerative colitis

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