A Case of Conjunctival Benign Lymphoid Hyperplasia associated with Ptosis of the Eyelid in a Child.

Yu, Su Byung; Lew, He Len; Yun, Young Soo

Case Report

Journal of the Korean Ophthalmological Society 2005;46(3):560-564.
Published online March 31, 2005.

A Case of Conjunctival Benign Lymphoid Hyperplasia associated with Ptosis of the Eyelid in a Child.

Department of Ophthalmology, Pochun CHA University College of Medicine, Pundang CHA Hospital, Seongnam, Korea. eye@cha.ac.kr

소아에서 안검하수로 발견된 결막 양성 림프구 과다증식 1예

유수병,유혜린,윤영수

Department of Ophthalmology, Pochun CHA University College of Medicine, Pundang CHA Hospital, Seongnam, Korea

Correspondence: Su-Byung Yu, M.D.

Abstract

PURPOSE
Benign lymphoid hyperplasia of the conjunctiva occurs infrequently in children. We report a case of benign lymphoid hyperplasia, accompanied by ptosis and conjunctival injection. METHODS: A nine-year-old girl showing ptosis and conjunctival injection underwent examination. RESULTS: There was ptosis of the right eye. Ophthalmologic findings included nodules which seemed like salmon's patch in the conjunctiva. The function of the levator muscle and the Neostigmine test were normal. There was no specific finding in fundus and orbital CT. Biopsy of the nodules was done under local anesthesia, and the pathologic result was benign reactive lymphoid hyperplasia. Ofloxacin and fluorometholone eye drops were used for 6 weeks, and oral prednisolone was used for 2 weeks. The ptosis was improved 3 weeks after surgery and follow-up survey was continuing at 10 months after surgery at the time of writing. CONCLUSIONS: We report one case of a child with benign lymphoid hyperplasia of the conjunctiva who showed ptosis and conjunctival injection, and present a literature.

Key Words: Benign lymphoid hyperplasia;Conjunctival injection;Ptosis