Infected conjunctival pyogenic granuloma at strabismus surgery site mimicking conjunctival abscess.

Authors:
Dora H AlHarkan
Dora H AlHarkan
King Khaled Eye Specialist Hospital
Saudi Arabia

Saudi J Ophthalmol 2019 Jan-Mar;33(1):109-111. Epub 2018 Jul 25.

Pediatric Ophthalmology and Strabismus, Ophthalmology Department, King Abdul-Aziz University Hospital, King Saud University, Saudi Arabia.

We present a rare case of infected pyogenic conjunctival granuloma mimicking a conjunctival abscess as complication of strabismus surgery in a Saudi girl with exotropia. Despite administration of local antibiotics following strabismus surgery, a patient presented with localised redness and discharge after three weeks. The patient was afebrile with no signs of pre-septal or orbital cellulitis. After culture () sensitivity testing the patient was prescribed oral Amoxicillin and Clavulanate and reviewed under general anaesthesia. A 55 mm conjunctival pyogenic granuloma was noted. A punch biopsy specimen indicated inflammatory and histiocytic cells. The addition of steroid to the medical therapy resulted in a quiet eye after three weeks.

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Source
https://linkinghub.elsevier.com/retrieve/pii/S13194534183016
Publisher Site
http://dx.doi.org/10.1016/j.sjopt.2018.07.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424674PMC
July 2018
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