Melanose primária adquirida associada a erosões epiteliais recorrentes da córnea / Primary acquired melanosis associated with recurrent corneal erosions
Rev. bras. oftalmol
;
71(4): 256-259, jul.-ago. 2012. ilus
Article
in Portuguese
| LILACS
| ID: lil-650661
RESUMO
Relato de caso de melanose primária adquirida unilateral em paciente do sexo feminino, de 59 anos, com cerca de quatro anos de evolução, associada a episódios de erosões recorrentes do epitélio corneano. A paciente foi submetida à exerese cirúrgica da conjuntiva alterada, ceratectomia superficial e uso de mitomicina-C tópica no pós-operatório. O exame anatomopatológico confirmou o diagnóstico de melanose primária adquirida, com atipias nucleares discretas a moderadas. Um ano após a cirurgia, a paciente não apresentou novos episódios de erosões recorrentes do epitélio corneano, sendo mantida apenas com o uso noturno de pomada lubrificante.
ABSTRACT
A case report of a 59 years old woman who has had ocular primary melanosis for four years, associated with episodes of corneal epithelial recurrent erosions. The patient underwent resection of the affected conjunctiva, superficial keratectomy and topical mitomicin C after the surgery. The pathologic examination confirmed the diagnosis of primary acquired melanosis, with mild to moderate nuclear atypia. One year after the treatment, she had only a small area of pigmented epithelium located in the lower corneal surface, showing no tendency to progression. She used lubricant ointment at night and did not have other epithelial erosions during the follow-up period.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Mitomycin
/
Conjunctival Neoplasms
/
Epithelium, Corneal
/
Melanosis
/
Antibiotics, Antineoplastic
Type of study:
Risk factors
Limits:
Female
/
Humans
Language:
Portuguese
Journal:
Rev. bras. oftalmol
Journal subject:
Ophthalmology
Year:
2012
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Federal de Minas Gerais/BR
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