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Bilateral Kimura's disease with devastating visual outcome

I Moroz1, N Rosen, M Rosner

  • 1Goldschleger Eye Institute, Sackler School of Medicine, Sheba Medical Center, Tel-Hashomer, Israel.

Eye (London, England)
|June 6, 1998
PubMed
Summary
This summary is machine-generated.

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Kimura's disease, a chronic inflammatory condition, caused severe visual impairment in a patient despite 23 surgeries. This case highlights the devastating impact of periocular Kimura's disease on vision.

Area of Science:

  • Ophthalmology
  • Dermatology
  • Pathology

Background:

  • Kimura's disease is a rare, chronic inflammatory condition affecting connective tissues, often presenting with subcutaneous nodules.
  • Periocular involvement can lead to significant cosmetic and functional complications, including eyelid deformity and proptosis.

Observation:

  • A patient presented with bilateral periocular Kimura's disease, characterized by chronic eyelid deformity and exophthalmos persisting for over two decades.
  • The condition necessitated 23 surgical interventions, with histological examination of biopsies confirming the diagnosis.

Findings:

  • Despite multiple surgical excisions, the Kimura's disease remained refractory, leading to persistent exophthalmos and eyelid changes.
  • These ocular complications resulted in lagophthalmos and severe visual impairment due to chronic bilateral corneal exposure.

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Implications:

  • This case underscores the potential for Kimura's disease to cause devastating and irreversible visual impairment.
  • Effective long-term management strategies for refractory periocular Kimura's disease require further investigation to prevent vision loss.