A Case of Limbal Pseudotumor.

Kim, Ho Young; Chun, Yeoun Sook; Kim, Jae Chan

doi:2008.49.12.2011

J Korean Ophthalmol Soc > Volume 49(12); 2008 > Article

Case Report

Journal of the Korean Ophthalmological Society 2008;49(12):2011-2016.
DOI: https://doi.org/10.3341/jkos.2008.49.12.2011 Published online December 15, 2008.

A Case of Limbal Pseudotumor.

Ho Young Kim, Yeoun Sook Chun, Jae Chan Kim

Department of Ophthalmology, Chung-Ang University Yongsan Hospital, Seoul, Korea. Jck50ey@kornet.net

윤부에 발생한 안와 거짓종양 1예

김호영ㆍ전연숙ㆍ김재찬

Ho Young Kim, M.D., Yeoun Sook Chun, M.D., Ph.D., Jae Chan Kim, M.D., Ph.D.

Abstract

PURPOSE
To report a rare case of localized orbital pseudotumor in the limbus. CASE SUMMARY: A 60-year-old man with a limbal mass in the left eye was referred to our clinic for further treatment. The patient's symptoms began 9-months earlier, and he was treated with oral prednisolone, but his symptoms relapsed. His left eye had a circumferentially protruded gelatinous limbal mass. The anterior segment fluorescein angiography was performed and the mass was then surgically removed. There was an interrupted fluorescence at the area of infiltrative mass at 8 seconds, and a relative hypofluorescence at 30 seconds on anterior segment fluorescein angiography. Histologic examination revealed a non-specific inflammatory reaction without the presence of tumor cells and these findings indicated a presumptive diagnosis of limbal pseudotumor. After the cessation of steroid treatment there was no evidence of tumor recurrence at the 6-month follow-up. CONCLUSIONS: The authors reported the first case of localized orbital pseudotumor in the limbus. Anterior segment fluorescein angiography was found useful in the evaluation and differential diagnosis of this type of limbal mass.

Key Words: Anterior segment fluorescein angiography;Limbus;Pseudotumor