Abstract |
A rare lesion of secondary amyloidosis of the cornea caused by trichiasis is reported. A 33-year-old Asian woman presented with progressive decrease of visual acuity of the right eye evolving over several years, combined with the growth of a lower budding, gelatinous, pink corneal mass located next to an inferior lid trichiasis. The treatment consisted of eyelid surgery for trichiasis, followed by ablation of the corneal lesion by anterior keratectomy. After 14 months of follow-up, no recurrence was observed. Visual acuity is 9/10 P3 without correction. Pathological examination of the mass revealed secondary corneal amyloidosis, AL type (light chains), rarely reported in the literature (18 cases). No other organ involvement by amyloidosis was identified. Corneal amyloidosis is a rare complication of trichiasis. To avoid recurrence, this anomaly should be recognized as the cause and should be treated prior to removal of the corneal lesion.
|
Authors | A Mora, D Brémond-Gignac, B Jany, H Sevestre, S Milazzo |
Journal | Journal francais d'ophtalmologie
(J Fr Ophtalmol)
Vol. 34
Issue 5
Pg. 303-8
(May 2011)
ISSN: 1773-0597 [Electronic] France |
Vernacular Title | Tuméfaction cornéenne secondaire à un trichiasis. |
PMID | 21531478
(Publication Type: Case Reports, English Abstract, Journal Article, Review)
|
Copyright | Copyright © 2011 Elsevier Masson SAS. All rights reserved. |
Chemical References |
- Amyloid
- amyloid protein AL
- Congo Red
|
Topics |
- Adult
- Amyloid
(analysis)
- Amyloidosis
(etiology, metabolism, surgery)
- Congo Red
- Corneal Diseases
(etiology, metabolism, surgery)
- Eyelids
(surgery)
- Female
- Humans
- Japan
(ethnology)
- Staining and Labeling
- Trichiasis
(complications)
|