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



Ghafarian S¹ ; Sheikhghomi S² ; Asadiamoli F¹
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.