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KMID : 0378019860290030080
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New Medical Journal
1986 Volume.29 No. 3 p.80 ~ p.83
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Intraocular Neurofibroma
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Abstract
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Although uveal involvement of neurofibroma in von Recklinghausen´s disease is relatively rare, solitary neurofibroma of the uvea without the evidence of von Recklinghausen´s disease is extremely rare. It is essentially a congenital condition, and is detected in, early stage, because of a buphthalmos. In non-buphthalinic case, the lesion, although congen:tal in origin, may not be noted until adult 1ife.
The authors experienced a case of a solitary uveal neurofibroma in 44 years old female patient. She was admitted to the department of ophthalmology, because of decreased visial acuity, ocular pain, and exophthalmos of the left eye. She was diagnosed with intraocular tumor at ten years ago, and refused the recommandation of enucleation. Recently above mentioned chief complaints had been developed, so she receinved an enucleation of the lift eye. In ophthalmologic examination:, the left eye revealed no light perception, the intraocular pressure was 27 mmHg, and the exophthalmos, 18 mm.
On gross examination, the eye showed an irregular shaped tan gray soft and friable mass, up to 2.0 x 1.5 x 1. 2 cm, on the lateral side of the wall. The microscopic findings were typical plexiform neurofibroma. The evidence of the von Recklinghausen´s disease was not detected in postoperative examination.
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