DR. GAYATRI DASARI

Abstract

Pyogenic granuloma, an acquired vascular proliferative lesion with associated inflammation, frequently affects skin and mucous membranes. Ocular pyogenic granuloma is rare, involves adnexa, conjunctiva and cornea. Eyelid pyogenic granuloma is associated with chalazion, oculoplasty surgeries, trauma, predisposing skin lesions, congenital capillary malformations, and idiopathic. This is a case of a 40-year-old male patient with Right eye upper lid, painless growth, gradually increasing in size for two months. The differential diagnosis was burst chalazion, Capillary Haemangioma, Molluscum contagiosum, Pilomatricoma, Basal cell carcinoma, Squamous cell carcinoma, Kaposi’s sarcoma. The lesion surgically excised, histopathological examination confirmed the diagnosis of Pyogenic Granuloma. There is no recurrence. This present case explains the importance of considering benign inflammatory causes in differential diagnosis of eyelid mass lesion to avoid unnecessarily aggressive intervention.