Journal of the Korean Ophthalmological Society 2003;44(9):2171-2177.
Published online September 1, 2003.
Bilateral Pterygium and Corneal Keloid in a 9-Month-Old Child.
Choul Yong Park, Yong Hoon Ji, Eui Sang Chung
Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University, College of Medicine, Seoul, Korea. eschung@smc.samsung.co.kr
소아 익상편 절제술 후 발생한 각막 켈로이드 1예
박철용 ( Park Cheol Yong ) , 지용훈 ( Ji Yong Hun ) , 정의상 ( Jeong Ui Sang )
Abstract
PURPOSE
To report a case with bilateral corneal keloid after pterygium excision. METHODS: A-9-month-old girl presented with bilateral, fibrovascular pterygium which had been rapidly growing to the corneal center since 3 months of age. Seven months postoperatively, avascular, scar-like lesion recurred and was excised. This lesion recurred again 3 months later and phototherapeutic keratectomy was performed. However the mass grew rapidly and was excised surgically at the last follow up. RESULTS: Histopathologic study revealed the feature of corneal keloid such as epithelial layer with variable thickness, markedly increased thickness of stroma, irregularly arranged numerous collagen fibers, abundant fibroblasts and variable size of vascular proliferation. CONCLUSIONS: Pterygium in childhood and corneal keloid are rare entities. To the best of our knowledge, this is the first report of a corneal keloid in a child with bilateral pterygium.
Key Words: Corneal keloid;Pterygium


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