Dr. AARTI HEDA

DR.SHILPA JOSHI, DR.HEMA JOSHI

Abstract

Reports of corneal keloids are rare, with fewer than 80 cases published since the first case was reported in 1865. Rarely keloids can be congenital but most often are associated with ocular surface trauma. Characterized histopathologically by a haphazard arrangement of fibroblasts, collagen bundles, and blood vessels. Treatment options include superficial keratectomy, lamellar or penetrating keratoplasty or scelerokeratoplasty. We report a rare case of giant corneal keloid in 42 year old male who presented to us with gradual painless progressive vision loss over 1 year. He gave history of trauma 10 years back following which corneal tear repair was done. On presentation, he had whitish elevated lesion with finger like projections covering the pupillary axis. He underwent penetrating keratoplasty, intraoperatively limbus to limbus corneal scar with suture tracks were noted. The corneal button was subjected to histopathological evaluation which confirmed presence of keloid