A Case of Congenital Corneal Keloid

Purpose: To describe a case of unilateral corneal keloid and present the clinical and histopathological findings and the management. Methods: A 23-year-old Asian male patient was examined for a white spot on the left cornea that had been present since birth. On biomicroscopic examination, a well-demarcated vascularized corneal mass was found located nasal to the center. The pupil was displaced superiorly, and gonioscopic examination showed peripheral iridocorneal adhesion at 12 o clock. The patient underwent penetrating keratoplasty. Results: Histopathologic study showed a variously thickened epithelial layer, an absence of Bowman s layer, subepithelial fibrovascular hyperplasia, and an absence of dermal elements. These histopathologic findings suggested a congenital corneal keloid. The central graft cornea remained clear at 18 months after surgery and the patient was satisfied with the result. Conclusions: Penetrating keratoplasty may be an effective surgical option for congenital keloids in young adult patients. Korean Journal of Ophthalmology 19(2):156-159, 2005