Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
BMJ Case Rep. 2023 Jul 18;16(7):e252776. doi: 10.1136/bcr-2022-252776.
An adult male in his 50s presented with complaints of glare and gradual, painless, progressive diminution of vision in the right eye (RE). Visual acuity in RE was noted to be 2/60, and slit lamp biomicroscopy revealed a pearly grey-white elevated corneal opacity measuring 4 mm × 3 mm, obscuring the visual axis. There was no history of ocular trauma or infection. The patient had undergone bilateral radial keratotomy for myopia correction 25 years ago. Anterior segment optical coherence tomography imaging demonstrated increased corneal thickness of 1080 µm at the site of lesion and the height of the epicorneal mass was noted to be 493 µm. The patient underwent fibrin glue-aided anterior lamellar keratoplasty. Histopathological examination of the excised host tissue confirmed the diagnosis of corneal keloid.
一位 50 多岁的成年男性主诉右眼（RE）畏光，且视力逐渐无痛性进行性下降。RE 的视力为 2/60，裂隙灯生物显微镜检查显示角膜灰白色隆起混浊，大小为 4mm×3mm，遮挡了视轴。患者无眼部外伤或感染史。25 年前，患者因近视接受了双眼放射状角膜切开术。眼前节光学相干断层扫描成像显示病变部位角膜厚度增加 1080µm，角巩膜肿块高度为 493µm。患者接受了纤维蛋白胶辅助的前板层角膜移植术。切除宿主组织的组织病理学检查证实了角膜瘢痕瘤的诊断。
