A 6-year-old girl presented with redness, itching and a slowly growing red-colored mass in the inferior conjunctival fornix of her right eye noticed by her mother since one month before. Slit lamp examination of the right eye revealed a well-defined, firm and mobile red subconjunctival nodule measuring 5 × 5 mm2 in the inferior fornix with intact overlying conjunctiva and mild papillary reaction. Other ophthalmic examinations were normal. She had no history of ocular trauma or surgery. Her past medical history was also unremarkable. She was scheduled for surgical excision of the mass with clinical suspicious of conjunctival pyogenic granuloma. Histopathological examination with hematoxylin and eosin (H & E) and periodic acid-Schiff (PAS) stains disclosed goblet cells containing non-keratinized stratified squamous epithelium overlying an aggregation of lymphocytes, plasma cells and histiocytes along with numerous eosinophils and scattered multinucleated giant cells of foreign body type. Clusters of round to cylindrical multicolored fibers of relatively uniform size (28-36 µm) were present which were birefringent under polarized light and some contained fine dark granules. Scattered lymphoid follicles were also identified. The fibers were non-reactive with PAS staining.