Chan M Y, Liao H R, Cheng F J
Chang Gung Memorial Hospital, Taipei, Taiwan.
Ann Ophthalmol. 1989 Aug;21(8):303-5.
We describe clinical and pathologic characteristics of two cases of traumatic intracorneal cyst. Both patients were children, without a history of ocular surgery, but they had been injured by scissors many years before the corneal lesion was noted. The corneal lesion was characteristically circular, opalescent, quiet, and slowly progressive. Histopathologically it formed within the corneal lamellae and was lined by corneal epithelium. Some epithelial debris was noted in the cyst contents. The first case was treated with penetrating keratoplasty, and the graft remained clear after 11 months of follow-up. The second case received simple aspiration, and recurrence of the cyst was noted at a nine-month follow-up. Excision of the anterior cyst wall and chemical cauterization using aqueous iodine 1% was done subsequently.
我们描述了两例创伤性角膜囊肿的临床和病理特征。两名患者均为儿童，无眼部手术史，但在发现角膜病变多年前曾被剪刀划伤。角膜病变的特征为圆形、呈乳白色、无炎症表现且进展缓慢。组织病理学检查显示，病变形成于角膜板层内，内衬角膜上皮。囊肿内容物中可见一些上皮碎屑。第一例患者接受了穿透性角膜移植术，随访11个月后移植片保持透明。第二例患者接受了单纯抽吸治疗，随访9个月时囊肿复发。随后进行了前囊肿壁切除术并使用1%碘化钠溶液进行化学烧灼。
