Granuloma pyogenicum or telangiectatic granuloma is an unusual clinical lesion which may occur anywhere on the body, but on rare occasions presents with ocular manifestations. Its occurrence on the lids has been reported in several instances, but few cases of isolated conjunctival changes have been documented. The purpose of this paper is to present a previously unreported case of histologically proven bilateral granuloma pyogenicum of the conjunctiva and to alert other ophthalmologists as to its significance in the differential diagnosis of conjunctival masses.