Papadopoulos M, Snibson G R, McKelvie P A
Corneal Unit, Royal Victorian Eye and Ear Hospital, East Melbourne, Australia.
Aust N Z J Ophthalmol. 1998 May;26(2):185-8. doi: 10.1111/j.1442-9071.1998.tb01541.x.
Ocular pyogenic granulomata are uncommon and are often associated with a chalazion or previous ocular and adnexal surgery The avascular nature of the cornea may explain the rarity of pyogenic granulomata at this site. We report on a case of corneal pyogenic granuloma following previous corneal surgery.
Ophthalmologists who had treated the patient previously were contacted and earlier clinical notes and histopathological examinations were reviewed. The clinical course following excision of the pyogenic granuloma is described, as are the histopathological findings.
Histological examination confirmed the diagnosis of pyogenic granuloma. Excision was followed by a clinical recurrence at a different site with spontaneous resolution.
Pyogenic granulomata of the cornea are rare. However, the present case illustrates the importance of considering benign inflammatory 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 previously described.
眼部化脓性肉芽肿并不常见，常与睑板腺囊肿或既往眼部及附属器手术有关。角膜的无血管特性可能解释了该部位化脓性肉芽肿罕见的原因。我们报告一例既往角膜手术后发生角膜化脓性肉芽肿的病例。
联系了之前治疗过该患者的眼科医生，并查阅了早期临床记录和组织病理学检查结果。描述了化脓性肉芽肿切除后的临床过程以及组织病理学发现。
组织学检查确诊为化脓性肉芽肿。切除后在不同部位出现临床复发，但自行消退。
角膜化脓性肉芽肿罕见。然而，本病例说明了在角膜肿物病变鉴别诊断中考虑良性炎症原因以避免不必要的积极干预的重要性。据我们所知，角膜化脓性肉芽肿自行消退此前尚未见报道。
