Collum L M, Power W J, Mullaney J, Farrell M
National Ophthalmic Pathology Laboratory, Royal Victoria Eye and Ear Hospital, Dublin, Ireland.
J Pediatr Ophthalmol Strabismus. 1991 May-Jun;28(3):157-9. doi: 10.3928/0191-3913-19910501-10.
Three cases of histologically proven limbal xanthogranuloma are presented. All three cases presented with a yellow raised swelling at the limbus and no other ocular or systemic abnormality. A simple excision of the lesion was carried out in all cases and histological examination revealed features typical of xanthogranuloma. Two patients had a recurrence at the original site, necessitating keratectomy, with insertion of a lamellar graft. We suggest that a primary keratectomy with insertion of a lamellar graft should be performed in cases of limbal xanthogranuloma in order to lessen the risk of recurrence and to provide a better cosmetic result.
本文报告了3例经组织学证实的角膜缘黄色瘤病例。所有3例患者均表现为角膜缘处黄色隆起性肿物,无其他眼部或全身异常。所有病例均对病变进行了简单切除,组织学检查显示为黄色瘤的典型特征。2例患者在原部位复发,需要进行角膜切除术并植入板层移植片。我们建议,对于角膜缘黄色瘤病例,应行一期角膜切除术并植入板层移植片,以降低复发风险并获得更好的美容效果。