Title : Ocular Pyogenic Granuloma: A Case Series
Abstract:
Background:
Pyogenic granuloma(PG) is a benign vascular proliferation of immature capillaries, leading to a lobular lesion. It is a misnomer, as it is neither purulent in nature nor of granulomatous variety. Ocular PG usually arises from conjunctiva and eyelids. Predisposing factors includes previous surgery, trauma, infection, BRAF mutation, hormonal and drug induced.Objectives: To study the clinical profile and management outcome of patients with ocular PG Methods: Clinical features and management outcome of all PG cases presented over a period of one year were analysed retrospectively.Results: Teenty five patients with age range from 10 to 65 years were included in the study. Out of 25 patients 15 were female and ten male. Ten patients had history of ocular surgery and 3 patients had history of non-surgical trauma and 12 patients had no significant history. 18 cases were from bulbar conjunctiva and 7 were from tarsal conjunctiva. Excisional biopsy was performed in 20 cases and confirmed diagnosis by histopathologic examination, topical steroid alone relieved 2cases . Two cases lost to follow up and one case recurred after surgery.
Conclusion:
Pyogenic Granuloma may mimic various ocular lesions like squamous papilloma, conjunctival lymphoma, lymphangiectasis and rhinosporidiosis. Diagnosis of PG is mainly clinical. Management options are surgical excision, topical steroid, topical timolol and cauterization.Small size cases can be treated with topical steroid alone.
