This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Paul Austin, MD; Frederick A. Jakobiec, MD; Takeo Iwamoto, MD; Albert Hornblass, MD

Arch Ophthalmol. 1983;101(10):1575-1579.

Abstract
• A 69-year-old woman had a placoid lesion extending from the temporal limbus with a ptyergioid head to involve extensively the temporal epibulbar conjunctiva, the superolateral and inferolateral fornices, and the lateral canthus. It was composed of thickened bundles of collagen, scattered islands of adipose tissue, and abundant refractile linear elastinophilic structures. Electron microscopy confirmed that the elastinophilic structures were mature elastic fibers embedded within markedly thickened bundles of collagen. This lesion resembles elastofibromas that occur in a subscapular location. Elastofibroma oculi is distinguishable from the more common pterygium and pinguecula by the sparing of the immediate subepithelial zone of the conjunctiva, which is preferentially involved by these other lesions, and by failure to exhibit ultrastructurally microfibrillar aggregates and dystrophic elastic fibers. Both the elastic fibers and thickened bundles of collagen in the elastofibroma are presumed to have arisen from activated fibroblasts.

Author Affiliations
From the Departments of Ophthalmology and Pathology, Manhattan Eye, Ear and Throat Hospital and The New York Hospital-Cornell Medical Center, New York City. Dr Austin was a fellow in the Eye Bank for Sight Restoration, Inc, New York City.

Footnotes
Accepted for publication Sept 27, 1982.

Reprint requests to Manhattan Eye, Ear and Throat Hospital, 210 E 64th St, New York, NY 10021 (Dr Jakobiec).

Dr Jakobiec is a recipient of the Robert E. McCormick Scholar Award from Research to Prevent Blindness, Inc.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Subscapular Subcutaneous Tumor
Said et al.
Arch Dermatol 1999;135:341-346.
FULL TEXT  

Epibulbar Fibroma of the Conjunctival Substantia Propria
Jakobiec et al.
Arch Ophthalmol 1988;106:661-664.
ABSTRACT