Conjunctival Pyogenic Granuloma Associated with Untreated Eye Stye: A Case Report

Abstract

Introduction: To report a case of conjunctival pyogenic granuloma (PG) associated with untreated eye stye that was successfully treated with corticosteroids. Presentation of Case:  69 years old male was presented with redness and foreign body sensation (FBS) on his left eye (LE) that had lasted for a week. He has no history of eye trauma but he had eye stye one month earlier, which was left untreated and unintentionally ruptured. Visual acuity (VA) of 6/7,5 was measured on LE with normal intraocular pressure (IOP). Anterior segment evaluation found conjunctival vascular injection (CVI) on the bulbar conjunctiva and sessile mass of granulation tissue on the superior tarsal conjunctiva. He was treated by oral and topical corticosteroids with tapering dose. After five weeks of treatment, significant improvements were observed in the eye symptoms together with decreasing granuloma size, i.e., smaller and thinner without recurrence. Discussion: PG is diagnosed through clinical presentations supported by the patient’s historical predisposing factors. Corticosteroid therapy can effectively reduce the size of PG with relatively simple procedure. However, it requires close monitoring of the IOP and tapering dose to anticipate the potential side effects. Surgical excision and histological evaluation are considered if the lesions cannot be resolved by corticosteroid therapy. Conclusion: Combined oral and topical corticosteroids therapy is recommended as an initial treatment for PG patients.