Bilateral Pterygium and Corneal Keloid in a 9-Month-Old Child

Park, Choul Yong; Ji, Yong Hoon; Chung, Eui Sang

Abstract

PURPOSE
To report a case with bilateral corneal keloid after pterygium excision. METHODS: A-9-month-old girl presented with bilateral, fibrovascular pterygium which had been rapidly growing to the corneal center since 3 months of age. Seven months postoperatively, avascular, scar-like lesion recurred and was excised. This lesion recurred again 3 months later and phototherapeutic keratectomy was performed. However the mass grew rapidly and was excised surgically at the last follow up.
RESULTS
Histopathologic study revealed the feature of corneal keloid such as epithelial layer with variable thickness, markedly increased thickness of stroma, irregularly arranged numerous collagen fibers, abundant fibroblasts and variable size of vascular proliferation.
CONCLUSIONS
Pterygium in childhood and corneal keloid are rare entities. To the best of our knowledge, this is the first report of a corneal keloid in a child with bilateral pterygium.