- A misnomer because neither granulomatous inflammation nor pyogenic
process is present.
- Aberrant wound healing process, which results in fibrovascularized
tissue growth.
- Rarely occur spontaneously.
- Usually occurs over chalazion, after conjunctival surface surgery
such as strabismus surgery, or pterygium removal, chronic irritation
from nasolacrimal tubing or punctal plugs.
- Clinical features:
- Symptoms:
- Irritation
- May cause inadequate lid closure or corneal dellen if located
near the limbus
- Signs:
- Initially presents as ovoid mass with pedunculated base,
which may broaden over time
- Fibrous adhesion to the underlying sclera.
- Treatment of choice: simple excision at of the base of the lesion.
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