Roohealthcare.com – If you have a child with conjunctival granuloma, you may wonder what it means. The granuloma itself is caused by a foreign body or by synthetic particles in the eye. Although most patients are diagnosed when they become granulomatous, the symptoms of conjunctival granuloma may be missed in children. It is important to treat it early to prevent further complications.
How to Diagnose by Consulting a Doctor
If the lesions are persistent and resemble OSSN or tuberculous conjunctivitis, the diagnosis may be a misdiagnosis. In one case, the lesions did not have corneal abrasions and instead were caused by deep-seated sutures near the fornix. Palpable conjunctiva may ward off an unnecessary biopsy. However, if you have a persistent granuloma, you may want to seek a doctor’s opinion.
The most common diagnosis for conjunctival granuloma is ocular bartonellosis. If the symptoms are accompanied by high levels of anti-BH immunoglobulin (Ig)G antibodies, it is considered an ocular bartonellosis. In this case, the disease resolved completely with systemic azithromycin treatment. The best treatment for conjunctival granuloma depends on the severity of the disease.
Surgical treatment for conjunctival granuloma varies from case to case. It is important to seek immediate medical treatment, especially if it affects a vision-sensitive organ. Even though conjunctival granuloma is rarely malignant, it is still important to treat it promptly to prevent further complications. There are several factors that can contribute to the development of a granuloma.
Slit Lamp Examination Fails to Reveal Foreign Body in Cornea
In children, the condition is most common in young children. In this case, a slit lamp examination failed to reveal a foreign body in the cornea. The surgeon resected the tissue and discovered that the foreign body was synthetic fibers. Surgical treatment is highly successful. If this procedure is not successful, antibiotics are administered. The parents of the child’s eyelids were asked to sign a written consent form before the research was published.
One 7-year-old girl with normal vision and no other medical conditions presented at the United Christian Hospital in Hong Kong in December 2012. The mass was found after accidentally opening her left lower eyelid. The mother did not see any symptoms, but the girl did not complain of pain or discomfort during the examination. Despite her mother’s wishes, the doctor decided to perform a surgical excision biopsy. Using a microsurgical approach, the conjunctiva was removed successfully.
Tacrolimus Eye Drops Have Showed Promising Results
Tacrolimus eye drop has shown promising results in patients with allergic conjunctival granuloma. However, further studies are necessary to establish the optimal therapeutic dose and duration. The authors certify that they received appropriate patient consent forms before participating in this study. The patients understand that their names will not be published, but anonymity cannot be guaranteed. The authors declare that they have no conflict of interest.
A 48-year-old man presented with a complaint of left-sided eye dryness and pruritus. During examination, the patient denied any discharge, change in vision, or any signs of infection. The patient’s doctor diagnosed a granulomatous lesion in the left eye. He removed the infection and the granulomatous mass resolved in a few months. Nevertheless, the patient still has a risk for infection.
A physician’s diagnosis of a pyogenic granuloma requires histological examination of the mass. The presence of MGCs in the mass suggests that it is a type of squamous cell carcinoma. The tumor is usually benign. However, some pyogenic granulomas may mimic a malignant tumor, which would require further treatment to prevent it from coming back.
