KMID : 0360220200610080950
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Journal of the Korean Ophthalmological Society 2020 Volume.61 No. 8 p.950 ~ p.954
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Blepharoptosis Secondary to Local Conjunctival and Tarsal Amyloidosis
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Choi Hyung-Jun
Son Byeong-Jae
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Abstract
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Purpose: To report a case of primary conjunctival and tarsal amyloidosis with blepharoptosis.
Case summary: A 73-year-old woman presented with left blepharoptosis and foreign body sensation that worsened over a 1-year period prior. She presented with severe blepharoptosis on the left upper lid, with slightly reduced levator function. During the operation, a fragile yellowish-pink mass-lesion was observed, widely involving palpebral conjunctiva and the space between the levator aponeurosis and tarsal plate. While levator resection was withheld, the mass was excised as much as possible and blepharoplasty was performed. After surgery, the blepharoptosis improved slightly, and histopathologic examination revealed amyloid deposits. Because there were no abnormal findings in systemic examinations including blood tests, chest X-rays, and abdominal ultrasonography, the patient was diagnosed as primary conjunctival and tarsal amyloidosis.
Conclusions: Although local amyloidosis of the conjunctiva and tarsal plate is rare, it should be considered in differential diagnosis of patients with involutional blepharoptosis.
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KEYWORD
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Blepharoptosis, Conjunctival & tarsal amyloidosis
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