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Healed corneal ulcer with keloid formation
Hind M Alkatan1, Khalid M Al-Arfaj, Mohammed Hantera
1Pathology & Laboratory Medicine Department, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Summary
A corneal keloid, a rare white mass, can cause vision loss after eye surgery. Penetrating keratoplasty successfully restored vision in a young adult patient, offering a promising surgical solution.
Area of Science:
- Ophthalmology
- Pathology
Background:
- Corneal keloids are rare, fibrotic growths that can impair vision.
- They often arise after ocular trauma or surgery, as seen in this case following multiple procedures and a healed corneal ulcer.
Purpose of the Study:
- To report a case of a corneal keloid in a young adult female.
- To evaluate the efficacy of penetrating keratoplasty for treating vision-impairing corneal keloids.
Main Methods:
- A 34-year-old female with a visually significant white corneal mass underwent penetrating keratoplasty.
- Histopathologic and ultrastructural studies were performed on the excised corneal tissue.
Main Results:
- Histopathology revealed epithelial hyperplasia, absent Bowman's layer, and subepithelial fibrovascular proliferation, consistent with a corneal keloid.
- The corneal graft remained clear six months post-surgery, with satisfactory visual outcome for the patient.
Conclusions:
- Penetrating keratoplasty is an effective surgical treatment for corneal keloids causing visual impairment.
- This case highlights the potential for successful visual rehabilitation in young adults with corneal keloids.
