KMID : 0213520050190020156
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Korean Journal of Ophthalmology 2005 Volume.19 No. 2 p.156 ~ p.158
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A Case of Congenital Corneal Keloid
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Song Jong-Suk
Kwon Sang-Won Shyn Kyung-Hwan
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Abstract
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Purpose: 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.
Conclusion: Penetrating keratoplasty may be an effective surgical option for congenital keloids in young adult patients. Korean Journal of Ophthalmology 19(2):156-159, 2005
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KEYWORD
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Corneal opacity, Histopathology, Keloid, Penetrating keratoplasty, White spot
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