Fibrosing blepharo-conjunctivitis following pyogenic granuloma in ocular acne rosacea.

PURPOSE: To report a case of pyogenic granuloma associated with ocular acne rosacea.

DESIGN

Case report.

METHODS

Interventional case report.

RESULTS

The patient developed an unusual lesion of the conjunctiva and limbus, histologically confirmed to be pyogenic granuloma. Excision of the lesion resulted in symblepharon formation, adhesions between lid margins, tarsal conjunctiva, and cornea, and reductions in visual acuity. The patient underwent surgical separation of the corneal lid adhesions with a mucosal autograft for the tarsal conjunctiva and an amniotic membrane graft for the cornea with good results.

CONCLUSIONS

Ocular rosacea is a common condition but such excessive and unusual fibrotic healing responses following excision of pyogenic granulomas have not been previously reported. This case demonstrated significant morbidity and decreased visual acuity. However, early recognition and effective surgical management can lead to good visual outcomes.