We read with great interest the report of Ferry1 on a synthetic fiber granuloma, having recently encountered a patient with an identical problem. Our experience and previous reports suggest that prompt and accurate diagnosis may allow removal of these lesions without the need for general anesthesia.
Report of a Case.
A 4-year-old girl was seen for an evaluation of a left inferior conjunctival fornix lesion that her mother had noticed 1 month earlier. On examination, a 1×2-mm white lesion was found in the left inferior fornix, with hairs appearing to arise from within the lesion (Figure 1). The appearance was strikingly similar to that of the patient of Ferry. The lesion was thought to be an atypical dermolipoma or pyogenic granuloma.At surgery, the lesion was examined using anesthesia. It was pedunculated, and the hairs on the lesion were easily removed with a cotton-tip swab. The surrounding conjunctiva was
Lueder GT, Matsumoto B. Synthetic Fiber Granuloma. Arch Ophthalmol. 1995;113(7):848-849. doi:10.1001/archopht.1995.01100070018003