Abstract:
PURPOSE:To report bilateral epibulbar xanthomatous lesions in an adult with a normal serum lipid profile and no cutaneous or systemic features of a histiocytic disease. METHODS:Clinicopathologic report. RESULTS:A 44-year-old man presented with gradually enlarging yellow epibulbar masses in both eyes. The lesions had recurred after excisions performed 2 years previously. Systemic evaluation was normal. Excisional biopsies were performed, and histological examination revealed numerous foamy histiocytes with scattered Touton giant cells and lymphocytes. No recurrence was observed after 1 year of follow-up. CONCLUSION:Xanthomatous epibulbar lesions are exceedingly rare and may occur as an isolated finding. Evaluation should be directed toward detecting underlying non-Langerhans cell histiocytic diseases and disorders of lipid metabolism. Recurrent lesions may be successfully treated by surgical excision.
journal_name
Corneajournal_title
Corneaauthors
Satchi K,Loughnan MS,McKelvie PA,McNab AAdoi
10.1097/ICO.0b013e3181a3c419subject
Has Abstractpub_date
2010-02-01 00:00:00pages
225-7issue
2eissn
0277-3740issn
1536-4798journal_volume
29pub_type
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