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KMID : 0360220210620040566
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Journal of the Korean Ophthalmological Society
2021 Volume.62 No. 4 p.566 ~ p.570
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Conjunctival Pyogenic Granuloma after Sub-tenon’s Block
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Lee Seung-Hyeun
Kim Kyoung-Woo
Chun Yeoun-Sook
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Abstract
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Purpose: We report a case of conjunctival pyogenic granuloma that developed after sub-Tenon’s block at the inferotemporalconjunctival quadrant during cataract surgery.
Case summary: A 74-year-old male patient with senile cataract, diabetic retinopathy and open-angle glaucoma, who was usinga combination of timolol/tafluprost and brimonidine eyedrops, underwent uneventful cataract surgery after sub-Tenon’s block atthe inferotemporal conjunctival quadrant of his right eye. Moxifloxacin, 1% prednisolone acetate and 0.1% bromfenac sodiumhydrate were administered daily for 1 month post-surgery, by which time a pink-colored, oval-shaped granulomatous mass haddeveloped on the inferotemporal conjunctiva, at the site of the sub-Tenon’s block. Dexamethasone and antibiotic combinationeye drops were administered without resection of the mass, which had markedly regressed after 2 weeks and disappeared completely6 weeks after treatment.
Conclusions: Patients should be informed of the possibility of conjunctival pyogenic granuloma prior to cataract surgery usingsub-Tenon’s block, and it is important to carefully check the block site and compliance with eyedrops at follow-up visits. Conjunctival pyogenic granuloma can be successfully treated with topical steroids.
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KEYWORD
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Anesthesia, Granuloma, Tenon capsule
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