A 71-year-old man presented with an enlarging left eye lesion, 6 years after pressure-washer
injury. Examination showed a lobulated, gelatinous lesion with associated cornea neovascularization,
obscuring the fundus (A). The fellow eye was normal. High-frequency ultrasound confirmed that the lesion was
anterior to the corneal stroma (B). Lesion excision resulted in improved vision, but with residual cornea edema (C). Histopathology demonstrated loose mesenchymal tissue with stellate fibroblasts and
scattered thin-walled vascular structures, consistent with corneal myxoma (hematoxylin-and-eosin
stain, original magnification, × 200) (D). Cornea myxomas are rare benign lesions, which can be associated with history of
inflammation, surgery, or injury. They may rarely be a manifestation of Carney complex
with the PRKAR1A gene mutation.
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Article info
Publication history
Published online: December 22, 2020
Accepted:
November 24,
2020
Received in revised form:
November 12,
2020
Received:
September 2,
2020
Identification
Copyright
© 2020 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.
