Background: Ocular pyogenic granulomata are uncommon and are often ass
ociated with a chalazion or previous ocular and adnexal surgery. The a
vascular nature of the cornea may explain the rarity of pyogenic granu
lomata at this site. We report on a case of corneal pyogenic granuloma
following previous corneal surgery. Methods: Ophthalmologists who had
treated the patient previously were contacted and earlier clinical no
-res and histopathological examinations were reviewed. The clinical co
urse following excision of the pyogenic granuloma is described, as are
the histopathological findings. Results: Histological examination con
firmed the diagnosis of pyogenic granuloma. Excision was followed by a
clinical recurrence at a different site with spontaneous resolution.
Conclusions: Pyogenic granulomata of the cornea are rare. However; the
present case illustrates the importance of considering benign inflamm
atory causes in the differential diagnosis of a corneal mass lesion so
as to avoid unnecessarily aggressive intervention. To our knowledge,
spontaneous resolution of a corneal pyogenic granuloma has not been pr
eviously described.