Infected conjunctival pyogenic granuloma mimicking conjuncti
Published in the Saudi Journal of Ophthalmology, the authors present a rare case of infected pyogenic conjunctival granuloma mimicking a conjunctival abscess as a complication of strabismus surgery in a 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 (Staphylococcus aureus) sensitivity testing the patient was prescribed oral Amoxicillin and Clavulanate and reviewed under general anaesthesia. A 55 mm2 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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