A CASE OF CORNEAL KELOID - CLINICAL, SURGICAL, PATHOLOGICAL, AND ULTRASTRUCTURAL CHARACTERISTICS

A 69-year-old patient developed a localised, whitish, elevated, cornea l lesion with a smooth and glistening surface following trauma, withou t evidence of corneal perforation. Twelve months later, the lesion sho wed evidence of slow growth. An excisional biopsy was then performed. Histopathologically, the lesion was covered by non-keratinised squamou s epithelium and was comprised of randomly oriented collagen fibres co ntaining active fibroblasts. Blood vessels were noted deep in the lesi on. Ultrastructurally, the cell population was formed by fibroblasts a nd myofibroblasts, similar to keloids of the skin. The clinical, patho logical, and ultrastructural features of the corneal lesion are compat ible with a corneal keloid.