A Case of Fibrous Histiocytoma of the Corneoscleral Limbus Treated by Lamellar Corneoscleral Graft.

Kim, Do Hyun; La, Tae Yoon; Kim, Man Soo

Case Report

Journal of the Korean Ophthalmological Society 2003;44(5):1218-1222.
Published online May 1, 2003.

A Case of Fibrous Histiocytoma of the Corneoscleral Limbus Treated by Lamellar Corneoscleral Graft.

Department of Ophthalmology, Kangman St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. mskim@catholic.ac.kr

층판각공막이식술로 치유한 각공막윤부에 생긴 섬유성 조직구종 1예

김도현 ( Do Hyun Kim ) , 나태윤 ( Tae Yoon La ) , 김만수 ( Man Soo Kim )

Abstract

PURPOSE
We report a case of fibrous histiocytoma at corneosleral limbus. We treated with lamellar corneoscleral graft with good surgical and visual outcomes. METHODS: A 7-year-old boy presented with a yellowish colored, painless, and growing mass at superior corneosclera in the right eye over 3 months. Before visiting our hospital, the mass was histologically diagnosed as benign fibrous histiocytoma at other hospital. After surgical excision of the mass only at scleral portion, the mass recurred in a few weeks and grew into corneal center gradually. Visual acuity decreased to 20/200. We excised the mass and managed the defect site with lamellar corneoscleral graft. RESULTS: On operating microsope, the mass in corneal portion was deeply located in corneal stroma from beneath the epithelium to above descemet's membrane. During excision of the mass, two tiny descemet's membrane rupture were occurred without serious problem and the operation was completed successfully. During the postoperative follow-up period of 6 months, there was no clinical evidence of recurrence and graft rejection and his visual acuity improved to 8/20.

Key Words: Fibrous histiocytoma;Lamellar corneoscleral graft