Solitary Epibulbar Neurofibroma in Older Adult Patients. Issue 4 (April 2015)

• Record Type: Journal Article
• Authors: Tanaka, Thais Shiota; Elner, Victor M.; Demirci, Hakan
• Is Part Of: Cornea. Volume 34:Issue 4(2015)
• Publication Date: 2015-04
• Subjects: neurofibroma -- conjunctival tumor -- neurofibromatosis; Cornea -- Periodicals; Cornea -- Periodicals; Cornée -- Périodiques; 617.719
• DOI: 10.1097/ICO.0000000000000370
• Languages: English
• ISSNs: 0277-3740

Abstract

Abstract : Purpose: To report a solitary epibulbar neurofibroma in 2 elderly patients without systemic neurofibromatosis. Methods: Case reports and literature review. Results: A 67-year-old man presented with a 2-month history of left epibulbar mass. On slit-lamp examination, an 8- × 8-mm amelanotic, translucent, gelatinous, circumscribed lesion was present deep to the nasal bulbar conjunctiva. A 60-year-old otherwise healthy man presented with a 6-week history of a subconjunctival growth causing pain and photophobia in his right eye. On slit-lamp examination, an 8- × 8-mm amelanotic, translucent, gelatinous, circumscribed subconjunctival lesion, causing a delle was present near the nasal limbus. In each case, excisional biopsy was performed and histopathologic study revealed the diagnosis of neurofibroma. In both cases, after 12 months of follow-up, there was no evidence of recurrence or systemic disease. Conclusions: Solitary epibulbar neurofibroma in older adult patients without systemic neurofibromatosis is rare but should be considered in the differential diagnosis of epibulbar tumors.