Annals of Optometry and Contact Lens 2018;17(4):107-110.
Published online December 25, 2018.
결막을 포함한 눈꺼풀에 발생한 일차성 국소아밀로이드증 1예
김성아, 이보영, 양석우
가톨릭대학교 의과대학 서울성모병원 안과학교실
Primary Localized Amyloidosis of the Eyelid and Conjunctiva
Seong Ah Kim, Bo Young Lee, Suk Woo Yang
Department of Ophthalmology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
Received: 19 July 2018   • Revised: 15 September 2018   • Accepted: 18 September 2018
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.
Key Words: Conjunctiva; Eyelid; Primary localized amyloidosis
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