Corneal Keloid: A Case Report

Corneal keloids are rare, benign corneal lesions that are often misdiagnosed due to their resemblance to other corneal opacities. Our patient is a 56-year-old male with a past eye history of cataract surgery and left eye injury in childhood who presented with a chief complaint of 6 months of aching left eye pain associated with worsening vision and light sensitivity. On slit lamp examination, a single, well-circumscribed, smooth, and pearly white corneal nodule was identified. Anterior segment OCT was completed to further evaluate this lesion. The patient underwent subsequent superficial keratectomy, and histopathological evaluation revealed cornea with stroma composed of variably dense collagen with focal sclerosis and facets of epithelium within the stroma and focal keratinization of the epithelium consistent with corneal keloid. Here, we will further discuss this case of a corneal keloid and discuss the clinical features, histopathology, and surgical outcome of this patient.