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Year : 1975  |  Volume : 23  |  Issue : 2  |  Page : 18-19

Corneal keloid

1 Department of Ophthalmology, Pt. J.N.M. Medical College, Raipur, India
2 Department of Pathology, Pt. J.N.M. Medical College, Raipur, India

Correspondence Address:
I M Shukla
Department of Ophthalmology, Pt. J.N.M. Medical College, Raipur
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Source of Support: None, Conflict of Interest: None

PMID: 1236446

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How to cite this article:
Shukla I M, Arora N P, Arora M M. Corneal keloid. Indian J Ophthalmol 1975;23:18-9

How to cite this URL:
Shukla I M, Arora N P, Arora M M. Corneal keloid. Indian J Ophthalmol [serial online] 1975 [cited 2023 Dec 11];23:18-9. Available from: https://journals.lww.com/ijo/pages/default.aspx/text.asp?1975/23/2/18/31326

Keloid of the cornea is a rare condition and has not been reported as a separate entity anywhere in the literature. It has always been included among the fibrous tumour of the cornea, which from time to time have been designated as fibroma, keloid, scar and hyper≠trophic cicatrix. [2],[3],[4]

  Case Report Top

A Hindu male child aged 6 years came to the out patient department with a growth arising from the left cornea. It appeared about 12 moths earlier and had since been steadily growing. Parents gave the history that the child had suffered from small-pox six months before the growth was noticed and that he tried to keep his left eye closed after the redness of his eyes follow≠ing small-pox. Before 11 years both the eyes were absolutely normal.

Examination of left eye:--A rounded oval swelling, dark-brown (skin like) in colour, measuring 3 cm. x 3 cm x lĹ cm. was found arising from whole of the cornea with clear sclera from limbus onwards.

The growth was soft and firm in consistency with smooth surface and moved freely with the movement of the eye-ball. There was no perception and projec≠tion of light.

The right eye had a central corneal opacity. The regional glands were not enlarged.

Treatment:-The left eye along with the growth was enucleated. Histopathological findings are shown in [Figure - 1],[Figure - 2]

  Comments Top

The origin and nature of such tumours remains obscure. Most cases reported in the literature are described along with fibrous tumours of cornea. Musical [1] attributed them to undifferentiated hyperplasia of opaque corneal and scleral tissue of developmental origin. Smith [3] ascribed it to inflammation, injury or surgery proceeding such overgrowths of cornea. He from his observation of 27 cases concluded that although lesions resembling true tumours did originate from corneal cicatrics it was very difftcult to determine histologically whether these lesions were to be classified as true fibrous tumours or merely as keloids. Stout [4] gave the term `Juvenile fibromatosis' to different varie≠ities' of fibrous tissue proliferation, which he found in patients below 15 years of age. In his view such tumours arose in subepithelial soft parts and at sites where scar tissue was known to have existed and they could hardly be differ≠entiated from Keloids. The present case reported here seems to have developed corneal keloid following small-pox.

  Summary Top

A case of corneal keloid in a child following small-pox is described.

  References Top

Musical, 1933, Quoted by Duke-Elder (1955) System of Ophthalmology VIII Part II 1986-88 Henry Kimpton, London.  Back to cited text no. 1
Reese, 1963, Tumours of the eye ed. 2, p. 455 Hoeber New York.  Back to cited text no. 2
Smith, H.C., 1940, Tr. Am. Ophth. Soc. 38 :519-≠38.  Back to cited text no. 3
Stout, A.P., 1948, Cancer 1 : 30-63.  Back to cited text no. 4


  [Figure - 1], [Figure - 2]

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