A 46-year-old lady presented with progressively growing mass from the inner side of the right upper eyelid. The mass was elevated, pinkish with surface vessels, engulfing the puncta. Careful evaluation revealed a patent punctal opening. Excision biopsy of the mass was carried out. Histopathology showed pseudoepitheliomatous hyperplasia with few inflammatory cells. We describe a case of punctal pseudoepitheliomatous hyperplasia masquerading as a punctal granuloma or papilloma.
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