BACKGROUND: A pyogenic granuloma developing after eye muscle surgery is a rare complication. It can impair aestethical results and ocular motility. PATIENT AND METHODS: A 7-year-old girl presented in our department with recurrence of a conjunctival granuloma following a bimedial retroequatorial myopexia an excision of conjunctival suture granuloma in the left eye. Clinically, a nodular painless and reddish mass was found at the nasal limbus in the interpalpebral zone. Other results of ocular examinations were limitation of adduction and elevation, mild amblyopia (visual acuity 0.8) due to microstrabismus of 1 degree. After surgical excision following the initial biopsy, the histopathologic study established the diagnosis of pyogenic granuloma. After recessing residual conjunctiva and Tenon's fascia in 10 mm distance from the limbus the conjunctiva was fixed to the sclera. The sclera between the limbus and the conjunctiva was left uncovered. Reepithelialisation of the bare sclera occurred after few days. RESULTS: No further symptoms were observed during a follow-up time of 1 year. CONCLUSIONS: The rapid growth and appearance as well as the clinical examination may imitate another tumor necessitating surgical excision and histopathological study. Bare sclera-technique is a suitable method for plastic reconstruction.
BACKGROUND: A pyogenic granuloma developing after eye muscle surgery is a rare complication. It can impair aestethical results and ocular motility. PATIENT AND METHODS: A 7-year-old girl presented in our department with recurrence of a conjunctival granuloma following a bimedial retroequatorial myopexia an excision of conjunctival suture granuloma in the left eye. Clinically, a nodular painless and reddish mass was found at the nasal limbus in the interpalpebral zone. Other results of ocular examinations were limitation of adduction and elevation, mild amblyopia (visual acuity 0.8) due to microstrabismus of 1 degree. After surgical excision following the initial biopsy, the histopathologic study established the diagnosis of pyogenic granuloma. After recessing residual conjunctiva and Tenon's fascia in 10 mm distance from the limbus the conjunctiva was fixed to the sclera. The sclera between the limbus and the conjunctiva was left uncovered. Reepithelialisation of the bare sclera occurred after few days. RESULTS: No further symptoms were observed during a follow-up time of 1 year. CONCLUSIONS: The rapid growth and appearance as well as the clinical examination may imitate another tumor necessitating surgical excision and histopathological study. Bare sclera-technique is a suitable method for plastic reconstruction.