Recurrent Salzmann's nodular degeneration.
BACKGROUND
We report a patient with Salzmann's nodular degeneration in whom the disease occurred without a history of keratitis and recurred twice after keratectomy.


METHODS
A unilateral case of symptomatic Salzmann's nodular degeneration developed after cataract surgery in a 75-year-old woman.


METHODS
We performed superficial keratectomy and amniotic membrane transplantation two times, but both times the lesions recurred 1 month postoperatively. After we performed the third superficial keratectomy above the level of Bowman's layer, there was no recurrence by the last follow-up 6 months postoperatively.


CONCLUSIONS
Salzmann's nodular degeneration can be diagnosed by clinical characteristics, even if there is no history of keratitis. Because it can recur after surgical removal of the lesion, patients with this disease need to be followed-up periodically.
Yoon
Kyung Chul
KC
Department of Ophthalmology, Chonnam National University Hospital, Gwang-Ju, South Korea. ophyoon@hannmail.net
Park
Yeoung Geol
YG
D000368:Aged; D003315:Cornea / Q000648:ultrastructure; D003316:Corneal Diseases / Q000150:complications* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D012008:Recurrence