Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong, China.
Hong Kong Eye Hospital, Hong Kong, China.
Eur J Ophthalmol. 2023 Sep;33(5):NP130-NP136. doi: 10.1177/11206721221124665. Epub 2022 Sep 9.
The purpose of this study was to report the clinicopathological features and management of the first case of bilateral synchronous conjunctival myxoma.
This study was a case report and literature review.
A 66-year-old Chinese male with past ocular history of uncomplicated bilateral phacoemulsification and intraocular lens (IOLs) 3 years ago prior to presentation presented with bilateral red and swollen conjunctiva for over a year. On examination his corrected distance visual acuity (CDVA) was 25/20 in the right eye 20/20 in the left eye. Slit lamp examination revealed swollen temporal conjunctiva bilaterally which appeared as painless, well-circumscribed, salmon-pink, fleshy patches. The lesion in the right eye was subsequently excised, followed by excision of the lesion in the left eye at 3-week interval. Microscopically, histopathological examination of both excised specimens revealed hypocellular conjunctival mucosa covered by non-dysplastic epithelium, with presence of myxoid degeneration in the subepithelial stroma and immunostaining findings consistent with conjunctival myxoma. At his latest follow-up at 24 months, there were no recurrences of the conjunctival masses and the CDVA was the same as preoperatively.
本研究旨在报告首例双侧结膜黏液瘤的临床病理特征和治疗方法。
本研究为病例报告和文献复习。
一名 66 岁的中国男性，既往眼部史为 3 年前双侧超声乳化白内障吸除术和人工晶状体（IOL）植入术，无复杂病史。此次就诊前 1 年双侧出现结膜红肿。检查时，他的矫正远视力（CDVA）右眼为 25/20，左眼为 20/20。裂隙灯检查显示双侧颞侧结膜肿胀，呈无痛性、边界清楚、鲑鱼粉红色、肉质斑块。右眼病变随后被切除，3 周后左眼病变也被切除。显微镜下，对两个切除标本的组织病理学检查显示，复层柱状上皮覆盖的结膜黏膜细胞稀少，上皮下基质存在黏液样变性，免疫组化染色结果与结膜黏液瘤一致。在 24 个月的最新随访中，结膜肿块无复发，CDVA 与术前相同。
