Presented herein, is an unusual case of a subconjunctival granuloma formation after an uneventful small incision cataract surgery. Subconjunctival nodules present unique challenges to the ophthalmologists in terms of establishing the correct diagnosis. Excision biopsy of the nodule resulted in complete resolution of symptoms. Histopathology of the mass revealed granulomatous inflammation, consistent with the diagnosis of a foreign body granuloma.