Nodular Fasciitis Involving the Cornea: A Case Report and Review of the Literature.

PURPOSE

To report a case of nodular fasciitis involving the cornea and to review the literature of all published cases of epibulbar nodular fasciitis.

METHODS

A 38-year-old man presented with a progressively enlarging flesh-colored nodule adherent to the central cornea of his right eye.

RESULTS

The nodule was surgically excised. Pathologic examination and immunohistochemistry were consistent with nodular fasciitis, a pseudoneoplastic spindle cell tumor.

CONCLUSIONS

A review of the literature confirms this is the first reported case of nodular fasciitis involving the cornea since the original series by Zimmerman et al describing nodular fasciitis of the eye. Surgical excision alone is likely the most appropriate treatment option.