Pyogenic Granuloma

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  • Rapidly growing, vascularised proliferation of granulomatous tissue
  • Aetiology: Surgery, trauma, infection or idiopathic


  • Rapidly growing, vascular pedunculated lesion
  • Tend to bleed spontaneously or after minor trauma
  • Usually not painful, but may irritate


  • Try topical steroids (e.g. Ultracortenol ointment 4x/d for 1-2 weeks)
    • consider Tobradex ointment 4x/d for 1-2 weeks (if bacterial infection possible)
  • Excision


  • EyeWiki Pyogenic Granuloma
  • The Wills Eye Manual: Office and Emergency Room Diagnosis and Treatment of Eye Disease; Nika Bagheri MD, Brynn Wajda MD, et al; Lippincott Williams&Wilkins; 7th Edition (2016)
  • Kanski’s Clinical Ophthalmology: A Systematic Approach; Jack J. Kanski MD, Brad Bowling MD; Saunders Ltd.; 8th Edition (2015)