Angiolymphoid hyperplasia with eosinophilia (Kimura's disease) of the orbit
D. L. Smith, M. C. Kincaid and E. Nicolitz
Department of Ophthalmology, W. K. Kellogg Eye Center, University of Michigan, Ann Arbor.
A 54-year-old man underwent enucleation of the right eye in 1975 for a
malignant melanoma of the choroid, with placement of an Iowa orbital
implant. He presented in 1985, with the clinical appearance of a late
orbital recurrence of the choroidal malignant melanoma. However, histologic
examination revealed the orbital mass to be angiolymphoid hyperplasia with
eosinophilia (Kimura's disease). Only six cases of orbital involvement,
proved by pathologic studies, have been published in the ophthalmic English
literature. This case represented an unusual presentation of a rare
disorder that involved the orbit and was probably related to the orbital
implant.