pyogenic granuloma is a fast growing vascularized proliferation of granulomatous tissue which is usually antedated by surgery trauma or infection or sometimes it is idiopathic.1 It is the most common vascular lesion to involve the eyelids.
Occasionally exuberant polypoid conjunctival masses which histologically show changes of granuloma pyogenicum can develop in a chalazia. These lesions are characterized by the granulation tissue that contains fine capillary vessels and inflammatory cells: including plasma cells and neutrophils. Granuloma pyogenicum can occur elsewhere in the bulbar, fornicial and palpebral conjunctiva secondary to trauma or infection as stated above and is considered by some to be a form of vascular tumour.2