RESUMO
CASO CLÍNICO: Presentamos un caso de inusual opacificación corneal y neovascularización progresiva, causada por un carcinoma de células escamosas (CCE). El infiltrado estromal blanquecino sugestivo de queratitis estromal herpética, mostró una imagen en la tomografía de coherencia óptica (OCT) semejante a una "lengua de lava" deslizándose entre las lamelas corneales. El análisis histopatológico confirmó que se trataba de un CCE. DISCUSIÓN: A nuestro conocimiento, es la primera descripción en la literatura de esta peculiar imagen. El CCE es una causa extremadamente infrecuente de opacificación corneal progresiva y neovascularización, y el retraso en el diagnóstico y tratamiento puede conducir a fracaso del tratamiento y pérdida del globo ocular
CASE REPORT: A case is reported of an unusual progressive corneal opacification and neovascularization caused by a squamous cell carcinoma (SCC) of the cornea. A patient with a white stromal infiltrate, consistent with herpetic stromal keratitis, showed a very particular image in optical coherence tomography (OCT), resembling a "tongue of lava" sliding between corneal lamellae. Histopathological analysis confirmed the diagnosis of SCC. DISCUSSION: To our knowledge this is the first report in the literature of this peculiar image with OCT. Squamous Cell Carcinoma is an extremely rare cause of progressive corneal opacification and neovascularization, and a delayed diagnosis may lead to unsuccessful treatment and loss of the eyeball
Assuntos
Humanos , Masculino , Idoso , Neovascularização da Córnea/terapia , Neovascularização da Córnea , Carcinoma de Células Escamosas/cirurgia , Carcinoma de Células Escamosas , Tomografia de Coerência Óptica/métodos , Ceratite/complicações , Ceratite/patologia , Enucleação Ocular/métodos , Enucleação Ocular , Córnea/patologia , Córnea/cirurgia , Córnea , Opacidade da Córnea/complicações , Opacidade da Córnea/cirurgia , Opacidade da Córnea , Acuidade VisualRESUMO
CASE REPORT: A case is reported of an unusual progressive corneal opacification and neovascularization caused by a squamous cell carcinoma (SCC) of the cornea. A patient with a white stromal infiltrate, consistent with herpetic stromal keratitis, showed a very particular image in optical coherence tomography (OCT), resembling a "tongue of lava" sliding between corneal lamellae. Histopathological analysis confirmed the diagnosis of SCC. DISCUSSION: To our knowledge this is the first report in the literature of this peculiar image with OCT. Squamous Cell Carcinoma is an extremely rare cause of progressive corneal opacification and neovascularization, and a delayed diagnosis may lead to unsuccessful treatment and loss of the eyeball.
