Dr.Ajay Kar

Abstract

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 32 years old male presented with painless, progressive nodular mass after his left eye pterygium excision with

conjunctival autograft surgery on his one month follow up date. The clinical diagnosis was post-operative granuloma and patient underwent excisional biopsy of the mass with conjunctival limbal autograft.Histopathology confirmed the diagnosis of pyogenic granuloma.