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Abnormal Corneal Lesion Following Cataract Surgery; a Corneal Pyogenic Granuloma? a Case Report Pubmed



Ghafarian S1 ; Sheikhghomi S2 ; Asadiamoli F1
Authors
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Authors Affiliations
  1. 1. Department of Ophthalmology, Farabi Eye Hospital, School of Medicine, Tehran, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Ophthalmology, Madani Hospital, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran

Source: Ceska a Slovenska Oftalmologie Published:2023


Abstract

Background: Description of an abnormal corneal lesion as a complication of a clear corneal incision in cataract surgery. Case presentation: A 55-year-old woman presented, complaining of right eye pain and redness for 6 months, which started 1 month after her uncom-plicated cataract surgery. On gross examination, the bulbar conjunctiva was hyperemic and a vascularized salmon-pink nodule with a smooth surface was noted over the supratemporal region of the cornea, just anterior to the previous superior corneal incision, with superficial feeder vessels origi-nating from the adjacent conjunctiva toward the lesion. The lesion was removed and histopathological examination revealed an inflammatory tissue containing inflammatory cells and capillaries within a background of fibrotic tissue throughout the lesion. Conclusions: Reactive fibrovascular nodules are rare corneal lesions following corneal trauma and vascularization, including a clear corneal cataract surgery incision. Ophthalmologists may encounter these lesions during postoperative visits and should be familiar with their appearance and man-agement. © 2023, Czech Medical Association J.E. Purkyne. All rights reserved.