A case of amyloidosis localized to the bulbar and palpebral conjunctiva Asami Nakahira 1 , Tamaki Sumi-Nagao 1 , Kentaro Tada 1 , Kaoru Sasaki 2 , Mitsuko Iguchi 3 , Makoto Hiroi 3 , Yasuhiro Osakabe 4 , Atsuki Fukushima 1 1Dept of Ophthalmol and Vis Sci,Kochi Med Sch 2Ideta Eye Hosp 3Lab of Diagnostic Pathol,Kochi Med Sch 4Dept of Mol Pathol,Tokyo Med Univ pp.1331-1335
Published Date 2010/8/15
DOI https://doi.org/10.11477/mf.1410103298
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Abstract. Purpose:To report a case of amyloidosis limited to the bulbar and palpebral conjunctiva. Case:A 75-year-old female had developed blepharoptosis in the right eye 3 years ago. Biopsy led to the diagnosis of amyloidosis. Blepharoptosis improved after resection of palpebral tumor. She sought medical advice for recurrence of bulbar tumor. Findings:Corrected visual acuity was 0.7 right and 0.9 left. The right eye showed a hard yellow tumor around the whole circumference of the limbus. It was treated by resection in two sessions followed by reconstruction of the conjunctival sac using the amnion. The resected lesion was diagnosed with amyloidosis. No extraocular involvement was present. After topical treatment with corticosteroid and cyclosporine,she is doing well for one year until present. Conclusion:Resection followed by anti-inflammatory treatment was effective for amyloidosis limited to the palpebral and bulbar conjunctiva.

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