title: [Corneal tumor secondary to trichiasis].
abstract: A rare lesion of secondary amyloidosis of the cornea caused by trichiasis is reported. A 33-year-old Asian woman presented with progressive decrease of visual acuity of the right eye evolving over several years, combined with the growth of a lower budding, gelatinous, pink corneal mass located next to an inferior lid trichiasis. The treatment consisted of eyelid surgery for trichiasis, followed by ablation of the corneal lesion by anterior keratectomy. After 14 months of follow-up, no recurrence was observed. Visual acuity is 9/10 P3 without correction. Pathological examination of the mass revealed secondary corneal amyloidosis, AL type (light chains), rarely reported in the literature (18 cases). No other organ involvement by amyloidosis was identified. Corneal amyloidosis is a rare complication of trichiasis. To avoid recurrence, this anomaly should be recognized as the cause and should be treated prior to removal of the corneal lesion.
authors.affiliation: Service d'ophtalmologie, centre Saint-Victor, clinique ophtalmologique Saint-Victor, CHU d'Amiens, université Picardie Jules-Verne, 354, boulevard de Beauvillé, 80054 Amiens cedex 1, France.
authors.forename: A
authors.initials: A
authors.lastname: Mora
authors.forename: D
authors.initials: D
authors.lastname: Brémond-Gignac
authors.forename: B
authors.initials: B
authors.lastname: Jany
authors.forename: H
authors.initials: H
authors.lastname: Sevestre
authors.forename: S
authors.initials: S
authors.lastname: Milazzo
mesh_terms: D000328:Adult; D000682:Amyloid / Q000032:analysis; D000686:Amyloidosis / Q000209:etiology* / Q000378:metabolism / Q000601:surgery; D003224:Congo Red; D003316:Corneal Diseases / Q000209:etiology* / Q000378:metabolism / Q000601:surgery; D005143:Eyelids / Q000601:surgery; D005260:Female; D006801:Humans; D007564:Japan / Q000208:ethnology; D013194:Staining and Labeling; D058457:Trichiasis / Q000150:complications*
chemical_list: D000682:Amyloid; C035222:amyloid protein AL; D003224:Congo Red