THE CLINICAL SPECTRUM AND MANAGEMENT OF PATIENTS WITH OCULAR SURFACE PYOGENIC GRANULOMA

Abstract

Purpose: To describe the clinical spectrum and management outcomes of ocular surface pyogenic granuloma (OSPG) in a series of patients.

Study Place and Duration: 1 year duration (Jan. 2023 to Dec. 2023) at Institute of Ophthalmology, Mayo Hospital Lahore.

Methodology: After ERB approval, 15 consecutive patients with OSPG were enrolled in study period of 1 year. Demographic and clinical data were collected on specially designed proforma. Management consisted of topical steroids for 2 weeks followed by excisional biopsy. Follow up was done till 6 months. Statistical analysis was done using Spss v. 26.

Results: Mean age was 35.4 years, with female preponderance (60%). Mean lesion size was 6.2 ± 2.1 mm with range of 3-15 mm and most common location was superior palpebral conjunctiva (N=6, 40%). Among etiological factors, most common cause was following pterygium surgery (N=4, 26.7%). Complete resolution was seen in 14 patients (93.3%) while recurrence was seen only in 1 patient (6.67%). Visual acuity improved significantly after treatment (p-value<0.05) and strong correlation (0.65) was found between lesion size and duration of symptoms.

Conclusion:  OSPG is a rare condition with varied etiologies. Aggressive management approach yields favorable outcomes. Early diagnosis and treatment are crucial to prevent complications.