A case of congenital corneal keloid.
OBJECTIVE
To describe a case of unilateral comeal 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 comeal mass was found located nasal to the center. The pupil was displaced superiorly, and gonioscopic examination showed peripheral iridocomeal 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 comeal keloid. The central graft comea 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.
Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. crisim@korea.ac.kr
Jong-Suk
JS
Song
Sangwon
S
Kwon
Kyung-Hwan
KH
Shyn
D000328:Adult; D003316:Corneal Diseases / Q000151:congenital* / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007627:Keloid / Q000151:congenital* / Q000473:pathology* / Q000601:surgery; D015948:Keratoplasty, Penetrating; D008297:Male