A 30 year old presents with a white mass over the cornea.
At surgery, the lesion was located between the corneal epithelium and Bowman’s and the surgeon peeled it off without difficulty.
Figure 1 and Figure 2 show the lesion.
Figure 3 is an anti-smooth muscle actin immuno.
Figure 4 is an Alcian Blue stain.
1. What are the features of this lesion?
2. What is the differential diagnosis?
3. What is the most likeliest diagnosis?
Corneal myxoma. Case report and review of the literature.Lo GG, Biswas J, Rao NA, Font RL. Cornea. 1990 Apr;9(2):174-8. Review
Solitary corneal myxoma.Pérez-Grossmann RA, Mesias LA, Contreras F, Spencer WH.Cornea. 1997 Jul;16(4):498-500
Primary corneal myxoma.Hansen LH, Prause JU, Ehlers N, Heegaard S. Acta Ophthalmol Scand. 2004 Apr;82(2):224-7. Review
Primary corneal myxoma.Soong T, Soong V, Salvi SM, Raynor M, Mudhar H S, Goel S, Edwards M. Cornea. 2008 Dec;27(10):1186-8