Journal of The Korean Ophthalmological Society (대한안과학회지)

The Korean Ophthalmological Society (대한안과학회)
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Clinical Features of Conjunctival Dermolipoma

결막 유피지방종의 임상 양상

  • Song, Hee Jun (Department of Ophthalmology, Myongji Hospital, Hanyang University College of Medicine) ;
  • Hwang, Ho Sik (Department of Ophthalmology, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Jung, Yoon Yang (Department of Pathology, Myongji Hospital, Hanyang University College of Medicine) ;
  • Kwon, Ji Won (Department of Ophthalmology, Myongji Hospital, Hanyang University College of Medicine)
  • 송희준 (한양대학교 의과대학 명지병원 안과학교실) ;
  • 황호식 (한림대학교 의과대학 춘천성심병원 안과학교실) ;
  • 정윤양 (한양대학교 의과대학 명지병원 병리학교실) ;
  • 권지원 (한양대학교 의과대학 명지병원 안과학교실)
  • Received : 2018.06.28
  • Accepted : 2018.11.27
  • Published : 2018.12.15
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Abstract

Purpose: To evaluate the clinical features of conjunctival dermolipoma. Methods: We reviewed the ocular records of 18 consecutive patients diagnosed with dermolipoma in our hospital between March 2016 and March 2018. Results: The study population consisted of eight females and 10 males with a mean age of 61 months (range 3 months to 45 years old), with a pinkish conjunctival mass located at a mean of 4.7 mm (range 2-8 mm) from the temporal limbus and anterior to the lateral orbital rim. The mean visual acuity of eight patients in whom it was possible to measure visual acuity was 0.9 (range 0.6-1.0). Surgery was performed in two eyes. Pathological examination revealed conjunctival dermolipoma. Postoperatively, there was no evidence of visual changes or specific complications. Conclusions: Conjunctival dermolipoma may be suspected in cases with a congenital subconjunctival non-movable mass, which can be confirmed by computed tomography and pathological examination.

목적: 결막 유피지방종의 임상 양상에 관해 알아보고자 하였다. 대상과 방법: 2016년 3월부터 2018년 3월까지 본원 안과에 방문하여 결막 유피지방종으로 진단받은 18명의 임상 소견을 후향적으로 분석하였다. 결과: 내원 당시 평균 연령은 61개월(3개월-45세)이었으며, 남자가 10명, 여자가 8명이었고, 각막윤부에서 평균 4.7 mm (2-8 mm) 거리의 이측, 안와연 앞쪽 눈알결막에 분홍색의 종괴가 관찰되었다. 시력 측정이 가능했던 8명의 종괴가 있는 눈의 평균 시력은 0.9(0.6-1.0)였다. 2안에서 제거 수술을 시행하였으며, 제거한 조직의 병리검사상 결막 유피지방종으로 진단되었고, 수술 후 시력 변화는 없었으며, 특별한 합병증도 관찰되지 않았다. 결론: 선천적으로 안구의 이측 결막하에 볼록한 종괴가 관찰되고 움직임이 없으면, 결막 유피지방종을 의심해 볼 수 있으며, 전산화단층촬영과 병리조직학적 검사를 통해 확진할 수 있겠다.

Keywords

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