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Primary Localized Amyloidosis of the Eyelid and Conjunctiva
Ann Optom Contact Lens 2018;17:107-110
Published online December 25, 2018
© 2018 The Korean Optometry & Contact Lens Study Society

Seong Ah Kim, MD, Bo Young Lee, MD, Suk Woo Yang, MD, PhD

Department of Ophthalmology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
Correspondence to: Suk Woo Yang, MD, PhD
Department of Ophthalmology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, #222 Banpo-daero, Seocho-gu, Seoul 06591, Korea
Tel: 82-2-2258-1188, Fax: 82-2-599-7405
E-mail: yswoph@catholic.ac.kr
Received July 19, 2018; Revised September 15, 2018; Accepted September 18, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Purpose: Amyloidosis involving the eyelid margin extending onto the conjunctiva is a very rare condition. We report our experience with a case of primary localized amyloidosis of the eyelid.
Case summary: A 45-year-old man presented with a recurrent nodule on the left medial canthal area extending onto the punctum. He was previously diagnosed with mild squamous dysplasia and hyaline degeneration in stroma by histopathologic examination. Biopsy was performed through wide excision of mass under local anesthesia. Hematoxylin & eosin stained sections showed pink amorphous hyaline deposits and Congo red stained sections demonstrated dichroism and birefringence under polarized light microscopy. No systemic involvement was noted, therefore the patient was diagnosed with primary localized amyloidosis. At the postoperative 6-month follow-up, recurrence of mass was not observed.
Conclusions: In the identification of an eyelid mass, amyloidosis should be considered. After successfully surgical excision, follow-up observation is required to watch for recurrence.
Keywords : Conjunctiva; Eyelid; Primary localized amyloidosis


December 2018, 17 (4)