A previously well 6‐year‐old girl with an unremarkable past medical and family history presented to her doctor with a mildly injected right eye and upper eyelid swelling. Her mother initially thought it was due to a minor contusion from a recent fall. Signs developed overnight, having been completely normal the day before. She had normal vision, denied discomfort and was systemically well. She was diagnosed with conjunctivitis and chloramphenicol ointment was prescribed. However, her condition progressed and she was referred to the eye clinic. Her visual acuity was 6/6 in each eye, with normal intraocular pressures, pupil reactions and colour vision. Her right upper eyelid was visibly swollen. When the upper eyelid was everted, there was granulomatous‐like tissue extending from the superior aspect of the globe. The rest of the eye examination, including dilated fundal examination, was unremarkable. With the history of recent trauma, she was initially diagnosed and treated as pyogenic granuloma.
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