title: Fibrosing blepharo-conjunctivitis following pyogenic granuloma in ocular acne rosacea.
abstract: OBJECTIVE
  To report a case of pyogenic granuloma associated with ocular acne rosacea.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Interventional case report.
  
  
  RESULTS
  The patient developed an unusual lesion of the conjunctiva and limbus, histologically confirmed to be pyogenic granuloma. Excision of the lesion resulted in symblepharon formation, adhesions between lid margins, tarsal conjunctiva, and cornea, and reductions in visual acuity. The patient underwent surgical separation of the corneal lid adhesions with a mucosal autograft for the tarsal conjunctiva and an amniotic membrane graft for the cornea with good results.
  
  
  CONCLUSIONS
  Ocular rosacea is a common condition but such excessive and unusual fibrotic healing responses following excision of pyogenic granulomas have not been previously reported. This case demonstrated significant morbidity and decreased visual acuity. However, early recognition and effective surgical management can lead to good visual outcomes.
authors.affiliation: Tennent Institute of Ophthalmology, Gartnavel General Hospital, 1053 Great Western Road, Glasgow, UK. mmnrahman@hotmail.com
authors.forename: Mamun Q
authors.initials: MQ
authors.lastname: Rahman
authors.forename: Yinru
authors.initials: Y
authors.lastname: Lim
authors.forename: Fiona
authors.initials: F
authors.lastname: Roberts
authors.forename: Kanna
authors.initials: K
authors.lastname: Ramaesh
mesh_terms: D000650:Amnion / Q000637:transplantation; D001762:Blepharitis / Q000209:etiology* / Q000473:pathology*; D002908:Chronic Disease; D003228:Conjunctiva / Q000601:surgery; D003229:Conjunctival Diseases / Q000209:etiology / Q000601:surgery; D003231:Conjunctivitis / Q000209:etiology* / Q000473:pathology*; D003315:Cornea / Q000601:surgery; D003316:Corneal Diseases / Q000209:etiology / Q000601:surgery; D005141:Eyelid Diseases / Q000209:etiology / Q000601:surgery; D005355:Fibrosis; D017789:Granuloma, Pyogenic / Q000150:complications* / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D016850:Limbus Corneae / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009092:Mucous Membrane / Q000637:transplantation; D012393:Rosacea / Q000150:complications*; D000267:Tissue Adhesions / Q000209:etiology / Q000601:surgery; D014182:Transplantation, Autologous; D014792:Visual Acuity