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March 1983

Fibrous Histiocytoma of the Corneosclera

Arch Ophthalmol. 1983;101(3):426-428. doi:10.1001/archopht.1983.01040010426017

• A 65-year-old woman had a slowly progressive sclerocorneal lesion that, after three years of unsuccessful medical treatment, involved almost the whole cornea and the surrounding sclera in the temporal lower quadrant. The tumor had a nodular surface. During the next two years, the tumor was operated on four times (twice by keratectomy and twice by lamellar sclerokeratoplasty). Microscopic examination revealed a fibrous histiocytoma. The resection was histologically incomplete on all occasions. Five years after the onset of the disease, the eye was enucleated. A spontaneous invasion of the iris could not be diagnosed with certainty, because there was a perforation at the limbus during a preceding operation.