Peripheral corneal edema following excision of a corneal keloid

Abstract

A 49-year-old man presented with the rare finding of corneal keloid after corneal penetrating injury. The keloid was totally excised by lamellar keratectomy and was disconnected from a stromal scar, probably the perforation site. Symptomatic peripheral corneal edema developed postoperatively, extending 180°. The keloid had an effect similar to an avascular pannus in chronic bullous keratopathy. As long as the keloid was under the epithelium, the patient remained asymptomatic.