Foreign body conjunctival granuloma

Abstract

Abstract Purpose To present a case of a small inflammatory epibulbar mass developed soon after a branch of the tree injury. Methods 57‐years old healthy men presented to our Department with complaints of discomfort, foreign body sensation, mild tearing and redness of his left eye. The patient sustained branch tree injury two weeks before. Slit lamp examination demonstrated a small red mass measuring about 3mm in diameter, located at the 3 o`clock position, loosely connected with adjacent tissues. An excisional biopsy of the mass was performed and tissue was send to histopathology laboratory for microscopic analysis. Results Microscopic examination revealed a massive infiltrate composed with multiple giant cell (of foreign body type) surrounding organic material (pieces of wood and plants) together with multiple plasma cells and lymphocytes. Focally neutrophils were also present. Histopathology diagnosis: foreign body conjunctival granuloma. Clinical differential diagnosis should considered: conjunctival benign lesions, Splendore‐Hoeppli fenomenon, inclusion conjunctival cyst or nodular episcleritis. Conclusion 1.Foreign body granuloma should be considered in differential diagnosis of conjunctival epibulbar lesions. 2.Histopathology is crucial for proper and final diagnosis.