Pyogenic granuloma: Post operative complication of pterygium surgery

The most common complication of pterygium surgery is postoperative recurrence. These recurrences are reduced with conjunctival autograft technique. However, with this graft surgery, post surgical wound-healing response may be more intense and may lead to Tenon's granuloma or pyogenic granuloma or stitch granuloma. These granulomas are treated either with frequent topical instillation of steroid eye drops or surgical excision. A 27 years old lady presented with painless, progressive nodular mass after her left eye pterygium excision with conjunctival autograft surgery on her follow up of 15^th post operative day. The clinical diagnosis was postoperative granuloma and patient underwent excisional biopsy. Histopathology confirmed the diagnosis of pyogenic granuloma. The patient was treated with postoperative tapering topical steroid drops and there was no recurrence even after 1 year.