Korean J Ophthalmol > Volume 19(2); 2005 > Article
Korean Journal of Ophthalmology 2005;19(2):156-159.
DOI: https://doi.org/10.3341/kjo.2005.19.2.156    Published online June 30, 2005.
A Case of Congenital Corneal Keloid.
Jong Suk Song, Sangwon Kwon, Kyung Hwan Shyn
1Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. crisim@korea.ac.kr
2Department of Ophthalmology, Gachon Medical School, Incheon, Korea.
To describe a case of unilateral corneal keloid and present the clinical and histopathological findings and the management. METHODS: A 23-year-old Asian male patient was examined for a white spot on the left cornea that had been present since birth. On biomicroscopic examination, a well-demarcated vascularized corneal mass was found located nasal to the center. The pupil was displaced superiorly, and gonioscopic examination showed peripheral iridocorneal adhesion at 12 o'clock. The patient underwent penetrating keratoplasty. RESULTS: Histopathologic study showed a variously thickened epithelial layer, an absence of Bowman's layer, subepithelial fibrovascular hyperplasia, and an absence of dermal elements. These histopathologic findings suggested a congenital corneal keloid. The central graft cornea remained clear at 18 months after surgery and the patient was satisfied with the result. CONCLUSIONS: Penetrating keratoplasty may be an effective surgical option for congenital keloids in young adult patients.
Key Words: Corneal opacity;Histopathology;Keloid;Penetrating keratoplasty;White spot

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