Clinical, surgical, and histopathologic characteristics of corneal keloid

Purpose, To describe the cause, diagnosis, and management of a case of bila teral corneal keloid. Methods. We describe a 17-year-old white boy with enl arging nontraumatic bilateral corneal scars whose growth was exacerbated by a superficial keratectomy. The patient underwent a penetrating keratoplast y (PK) in his left eye. Light and electron microscopy of the corneal button were performed. Results. The histopathologic and ultrastructural features of the corneal button were haphazardly arranged collagen fascicles with act ivated fibroblasts but no inflammatory cells. The clinical outcome was exce llent, although there has been continuous growth of the outer margin of the initial lesion not included in the PI(. This growth has not affected visio n. The unoperated right corneal lesion progressively enlarged during these years. Conclusion. A corneal keloid, although unusual, should be suspected in cases of enlarging white glistening avascular corneal scars regardless o f a traumatic antecedent. Light and electron microscopy confirmed the diagn osis, Management is by PK when the visual axis is involved and carries an e xcellent prognosis.