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Mahjoub A, Zaafrane N, Chaabene R, Ben Abdesslem N, Sellem I, Allagui O, Jouini A, Ben Said M, Ghorbel M, Mahjoub H. [Pyogenic granuloma: Clinical, etiological and therapeutic features. A series of five cases]. J Fr Ophtalmol 2023; 46:e230-e233. [PMID: 37442691 DOI: 10.1016/j.jfo.2023.01.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2022] [Revised: 01/07/2023] [Accepted: 01/26/2023] [Indexed: 07/15/2023]
Affiliation(s)
- A Mahjoub
- Service d'ophtalmologie, CHU Farhat Hached de Sousse, rue Ibn El Jazzar, 4000 Sousse, Tunisie; Faculté de médecine de Sousse, université de Sousse, 4000 Sousse, Tunisie
| | - N Zaafrane
- Service d'ophtalmologie, CHU Farhat Hached de Sousse, rue Ibn El Jazzar, 4000 Sousse, Tunisie; Faculté de médecine de Sousse, université de Sousse, 4000 Sousse, Tunisie
| | - R Chaabene
- Service d'ophtalmologie, CHU Farhat Hached de Sousse, rue Ibn El Jazzar, 4000 Sousse, Tunisie; Faculté de médecine de Sousse, université de Sousse, 4000 Sousse, Tunisie.
| | - N Ben Abdesslem
- Service d'ophtalmologie, CHU Farhat Hached de Sousse, rue Ibn El Jazzar, 4000 Sousse, Tunisie; Faculté de médecine de Sousse, université de Sousse, 4000 Sousse, Tunisie
| | - I Sellem
- Service d'ophtalmologie, CHU Farhat Hached de Sousse, rue Ibn El Jazzar, 4000 Sousse, Tunisie; Faculté de médecine de Sousse, université de Sousse, 4000 Sousse, Tunisie
| | - O Allagui
- Service d'ophtalmologie, CHU Farhat Hached de Sousse, rue Ibn El Jazzar, 4000 Sousse, Tunisie; Faculté de médecine de Sousse, université de Sousse, 4000 Sousse, Tunisie
| | - A Jouini
- Service d'ophtalmologie, CHU Farhat Hached de Sousse, rue Ibn El Jazzar, 4000 Sousse, Tunisie; Faculté de médecine de Sousse, université de Sousse, 4000 Sousse, Tunisie
| | - M Ben Said
- Service d'ophtalmologie, CHU Farhat Hached de Sousse, rue Ibn El Jazzar, 4000 Sousse, Tunisie; Faculté de médecine de Sousse, université de Sousse, 4000 Sousse, Tunisie
| | - M Ghorbel
- Service d'ophtalmologie, CHU Farhat Hached de Sousse, rue Ibn El Jazzar, 4000 Sousse, Tunisie; Faculté de médecine de Sousse, université de Sousse, 4000 Sousse, Tunisie
| | - H Mahjoub
- Service d'ophtalmologie, CHU Farhat Hached de Sousse, rue Ibn El Jazzar, 4000 Sousse, Tunisie; Faculté de médecine de Sousse, université de Sousse, 4000 Sousse, Tunisie
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Bin Dlaim MS, Alhussein GA, Alqahtani RS, Almanea LT. Conservative Management of Giant Pyogenic Granuloma Post Strabismus Surgery: A Case Report and Literature Review. Cureus 2023; 15:e41321. [PMID: 37539417 PMCID: PMC10395757 DOI: 10.7759/cureus.41321] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/03/2023] [Indexed: 08/05/2023] Open
Abstract
Ocular pyogenic granuloma is a benign vascular tumor that occurs primarily in children. Treatment options for pyogenic conjunctival granulomas include topical steroids, topical timolol, surgery, cryotherapy, and electrocautery. Patients with giant pyogenic granulomas are usually treated with surgical intervention. In this case, a 13-year-old Egyptian girl developed a giant pyogenic granuloma after strabismus surgery. Topical steroids showed a poor response and failed to demonstrate any improvement. While on timolol, the granuloma completely regressed, with no signs of recurrence. Despite the usual surgical approach to the treatment of purulent giant granulomas, we believe that topical timolol can be the preferred option as a noninvasive alternative therapy since it is considered safe when compared to the potential risks of topical steroid therapy or surgical exposure.
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Affiliation(s)
- Mohammad S Bin Dlaim
- Pediatric Ophthalmology Division, King Abdullah bin Abdulaziz University Hospital, Riyadh, SAU
| | - Ghadah A Alhussein
- College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, SAU
| | - Raneem S Alqahtani
- College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, SAU
| | - Leenah T Almanea
- College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, SAU
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Bessonnat A, Benoit‐Biancamano M, Vanore M. Recurrence of conjunctival exuberant granulation tissue in a pony. EQUINE VET EDUC 2023. [DOI: 10.1111/eve.13769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Affiliation(s)
- Amandine Bessonnat
- Department of Clinical Sciences, Faculty of Veterinary Medicine Université de Montréal Saint‐Hyacinthe Quebec Canada
| | - Marie‐Odile Benoit‐Biancamano
- Groupe de recherche en pharmacologie animale du Québec (GREPAQ), Department of Pathology and Microbiology, Faculty of Veterinary Medicine Université de Montréal Saint‐Hyacinthe Quebec Canada
| | - Maria Vanore
- Department of Clinical Sciences, Faculty of Veterinary Medicine Université de Montréal Saint‐Hyacinthe Quebec Canada
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Viveiros MMH, Lima FO, Schellini SA. Pyogenic granuloma secondary to a pterygium. J Fr Ophtalmol 2021; 45:e37-e38. [PMID: 34281761 DOI: 10.1016/j.jfo.2021.02.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2020] [Revised: 01/23/2021] [Accepted: 02/05/2021] [Indexed: 10/20/2022]
Affiliation(s)
- M M H Viveiros
- Department of Ophthalmology, Medical School, State University of Sao Paulo, Botucatu, SP 18618-970, Brazil
| | - F O Lima
- Department of Pathology, Medical School, State University of Sao Paulo, Botucatu, SP, Brazil
| | - S A Schellini
- Department of Ophthalmology, Medical School, State University of Sao Paulo, Botucatu, SP 18618-970, Brazil.
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Nolan RP, Cavuoto KM, Patel N, Falcone MM, Liu Y, Liu X, Dubovy SR, Chang VS, Osigian CJ. Clinical Diagnosis and Histopathologic Features of a Synthetic Fiber Granuloma. J Pediatr Ophthalmol Strabismus 2020; 57:e92-e95. [PMID: 33320269 DOI: 10.3928/01913913-20200915-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Accepted: 07/17/2020] [Indexed: 11/20/2022]
Abstract
The authors report a case of a synthetic fiber granuloma to demonstrate the challenges in diagnosing these lesions and to highlight their histopathologic features. This is the first report in the literature to use histopatho-logic and immunofluorescence studies to characterize the subtype and distribution of macrophages in synthetic fiber granuloma. [J Pediatr Ophthalmol Strabismus. 2020;57:e92-e95.].
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Chendran P, Seng Fai T, Wan Abdul Halim WH, Md Din N. Pyogenic Granuloma Formation Following Ahmed Valve Glaucoma Implant. J Glaucoma 2020; 28:e162-e164. [PMID: 31368915 DOI: 10.1097/ijg.0000000000001334] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Ocular pyogenic granuloma is a benign tumor seen after ocular insult secondary to ocular surgeries, trauma or infection. Although benign, intervention is sometimes necessary. Previous authors have reported pyogenic granuloma formation following oculoplastic surgeries. We report a pyogenic granuloma after an Ahmed glaucoma valve implantation. A 65-year-old gentleman presented with right eye redness associated with pain and swelling ~2 months after Ahmed glaucoma valve implantation. Examination found a sessile growth on the tube extruding puss with signs of endophthalmitis. The glaucoma drainage device was explanted and culture results grew Staphylococcus aureus. This article discusses the formation of pyogenic granuloma on a glaucoma drainage device and its management.
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Affiliation(s)
- Prema Chendran
- Department of Ophthalmology, University Kebangsaan Malaysia Medical Centre (UKMMC), Kuala Lumpur, Malaysia
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Herwig-Carl MC, Grossniklaus HE, Müller PL, Atzrodt L, Loeffler KU, Auw-Haedrich C. Pyogenic granuloma associated with conjunctival epithelial neoplasia: report of nine cases. Br J Ophthalmol 2019; 103:1469-1474. [DOI: 10.1136/bjophthalmol-2018-312960] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2018] [Revised: 09/26/2018] [Accepted: 11/11/2018] [Indexed: 12/19/2022]
Abstract
AimsTo systematically describe the clinical and histopathological features of a case series of conjunctival carcinomatous lesions underlying as—and also masquerading—pyogenic granuloma.MethodsNine cases of conjunctival carcinomatous lesions underlying a pyogenic granuloma (which were clinically predominant) were retrospectively identified. Patients’ records were analysed for demographic data, clinical appearance and the postoperative course. Formalin-fixed paraffin-embedded specimens were routinely processed and stained with H&E and periodic acid-Schiff. Immunohistochemical stains for cytokeratin were performed in selected cases.ResultsAll nine tumours were located in the conjunctiva (bulbar, tarsal, limbal conjunctiva) of patients between 44 and 80 years. The lesions exhibited clinical features of pyogenic granuloma which dominated the clinical appearance. Additional features comprised a papillomatous appearance of the adjacent conjunctiva, a more whitish aspect of the lesion and a history of squamous cell carcinoma (SCC) respectively surgery for other entities. Histopathological analysis revealed a carcinomatous lesion (conjunctival intraepithelial neoplasia or SCC) at the base of a classic pyogenic granuloma in all nine cases. Surgical removal (R0 resection) was performed. Three cases received adjuvant mitomycin C or interferon α2b treatment. Two lesions locally recurred within 2 years after initial presentation.ConclusionCarcinomatous lesions may be accompanied by a pyogenic granuloma which may dominate the clinical pictures. As the tumour is usually located at the base of the lesion, a complete surgical excision followed by histopathological analysis is mandatory for each lesion appearing as conjunctival pyogenic granuloma.
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Epithelial dysplasia in pterygium postoperative granuloma. Exp Eye Res 2018; 175:199-206. [PMID: 30125539 DOI: 10.1016/j.exer.2018.08.014] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2018] [Revised: 08/10/2018] [Accepted: 08/15/2018] [Indexed: 01/05/2023]
Abstract
Pterygium postoperative granuloma (PPG) is one of the common complications of pterygium surgery. In order to provide the structural features of PPG, and to further explore its pathogenetic mechanism, we analyzed clinical and pathological characteristics of 12 PPG cases. New blood vessels were observed under a slit lamp in PPG and peripheral conjunctival tissues. In vivo confocal imaging showed that there was extensive neovascularization in the stroma, accompanied by infiltration of dendritic cells and inflammatory cells. Dense fibrous structures were observed in some PPG tissues. H&E staining results confirmed neovascularization and inflammatory cells in PPG tissues. In addition, H&E staining exhibited epithelioid tissue covering some PPG tissues. The immunofluorescence results demonstrated that the PPG epithelium was negative for K19, K10 and Muc5AC. Compared with the normal conjunctiva and pterygium, the expression of collagen IV in PPG basement membrane decreased, the expression of pan-cytokeratin (PCK), claudin 4 and E-cadherin in PPG epithelium was significantly lower, while the expression of vimentin, α-SMA and Snail was significantly increased. Therefore, our results suggest that the expression of epithelial keratin markers and goblet cell specific mucin marker is downregulated in the PPG tissues, and it likely is associated with the occurrence of EMT in granulomatous tissues.
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