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Bilateral corneal keloids after eyelid compression.

Ming-Chieh Hsieh1, Jen-Yu Huang1, Yu-Ling Liu1

  • 1Department of Ophthalmology, Changhua Christian Hospital, Changhua, Taiwan.

Taiwan Journal of Ophthalmology
|April 21, 2020
PubMed
Summary
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Long-term eyelid compression may cause bilateral corneal keloids. Advanced imaging like anterior segment optical coherence tomography (ASOCT) and topography aid diagnosis, with conservative treatments showing positive outcomes.

Area of Science:

  • Ophthalmology
  • Corneal Diseases
  • Oculoplastics

Background:

  • Eyelid compression is a treatment modality for certain ocular conditions.
  • The potential for corneal complications following prolonged eyelid compression requires investigation.

Observation:

  • A case report detailing bilateral corneal keloids in a patient undergoing 6 months of eyelid compression.
  • Initial visual acuity was 20/20 (OD) and 20/32 (OS).
  • Anterior segment optical coherence tomography (ASOCT) showed epithelial hyperplasia, Bowman's layer disruption, and stromal edema; topography revealed irregular astigmatism in the left eye.

Findings:

  • Conservative treatment over 1 year improved best-corrected visual acuity to 20/20 (OU) and reduced astigmatism.
  • ASOCT and topography are valuable tools for diagnosing and monitoring corneal keloid progression.
Keywords:
Anterior segment optical coherence tomographycorneal keloideyelid compressionorthokeratologytopography

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  • Corneal keloids can be an induced complication of extended eyelid compression therapy.

    • Implications:

    • Highlights a potential adverse effect of eyelid compression therapy.
    • Emphasizes the utility of ASOCT and topography in managing corneal pathologies.
    • Supports conservative management as a primary approach for tolerable corneal keloid lesions.