Ocular Complication: Post-Traumatic Pyogenic Granuloma about one case

Research Area: Medicine Authors
SALMA HASSINA* Chaimaa BARDI* zahira HAZIL* Mohammed Amine KRICHEN Elhassan ABDELLAH
Department of Ophthalmology B, Rabat Specialty Hospital, CHU ibn Sina, Mohammed V Souissi University Rabat RABAT MOROCCO
Service d’Ophtalmologie B CHU Avicenne. Université Mohammed V. RABAT MOROCCO

Abstract
A pyogenic granuloma is characterized as a pedunculated vascular lesion, and appears as a fleshy red or pink mass. It is often located on the eyelid and bleeds easily with minimal contact. Clinically, it arises with rapid growth in an area of previous trauma, surgery, or inflammation. Histologically, it is composed of granulation tissue, capillaries, and non-granulomatous inflammatory cells. Recommended treatment is excision of the lesion at its base. We report the case of a 6 year old boy with notion of trauma 5 months ago by vegetal thorn who presented to the emergency room with a conjunctival lesion on his right eyelid appeared for 4 months which was small and progressively increasing in size. The examination objective a bright red mass, vascularized, with a large base on his right upper tarsal conjunctiva. the child was put under topical treatment with loteprednol etabonate 0.5% for 1 month, the size of the mass had slightly decreased. Two months after stopping the treatment, the mass had decreased by one third. Hence the need for surgery: removal of the lesion. Pyogenic granulomas are vascular lesions commonly occurring on skin and mucosa, including the palpebral conjunctiva. The exact etiology is unknown, but the granuloma is often associated with a chalazion, a hordeolum, or a history of trauma or surgery. Pyogenic granuloma presents as a nontender, fleshy, red, vascular lesion.The lesions are typically sessile or pedunculated, are dome-shaped, and vary from 1 to 10 mm in diameter. The mass is a collection of granulation tissue such as chronic inflammatory cells, fibroblasts, and endothelial cells of budding capillaries .Most pyogenic granulomas are asymptomatic .Pyogenic granulomas rarely resolve spontaneously. If they are asymptomatic, no treatment is necessary. The response to topical therapies varies among patients from a decrease in size to full resolution or no effect at all. Topical corticosteroids prescribed 4 times a day for 1 to 2 weeks may reduce the lesions.However, there may be no response at all. If the lesion persists, surgical excision is required. Removal of a single pedunculated lesion is done using a shave excision and electrocautery. Recurrence is uncommon with surgical excision, but the risk rises when granulation tissue remains.

Keywords
granuloma, pyogenic,Traumatic

Doi : https://doi.org/10.5281/zenodo.10727292

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Cite
HASSINA, S., BARDI, C., HAZIL, Z., KRICHEN, M. A., & ABDELLAH, E. (2024). Ocular Complication: Post-Traumatic Pyogenic Granuloma About One Case. In International Journal of Science, Applications and Prosperity (Vol. 2, Numéro 1, p. 4‑5). International Journal of Science, Applications and Prosperity.

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Copyright @ by the authors. This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).