Conjunctival Pyogenic Granuloma Management in Bhutan: A Case Report and Literature Review

Conjunctival pyogenic granuloma is a benign vascular tumor that typically occurs following an eye injury, trauma, after an eye surgery, or during pregnancy due to hormonal changes. The granulomas are commonly seen at the traumatic or the surgical wound site, where improper wound healing leads to the formation of the granuloma. However, in some cases, the cause of the granuloma remains unknown.

A 47-year-old female presented to the Ophthalmology Outpatient Department at the Central Regional Referral Hospital in Gelephu, Bhutan, with a progressively enlarging, reddish mass in her left eye, 2 months after pterygium excision surgery. Ocular examination revealed a pedunculated, vascular lesion on the conjunctiva consistent with a postsurgical conjunctival pyogenic granuloma. The lesion was managed successfully with complete resolution and no recurrence on follow-up.

This case underscores the need for clinicians to recognize conjunctival pyogenic granuloma as a potential postoperative complication following pterygium excision. Early diagnosis and appropriate management can prevent recurrence and other related complications. To our knowledge, this represents one of the first such cases reported from our hospital in the past 5 years.