PMC3350162_01
(a) Clinical picture showing infiltrate (arrow) in the corneal stroma with epithelial defect (double arrow) in the surrounding area as seen under microscope. (b) Picture shows yellowish crystalline lens removed from within the infiltrate. (c) Slit lamp picture after one month of surgery showing scarred cornea with a mid-dilated pupil. Note total clearing of the infiltrates.
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fig1
There was an over lying and few satellite areas of scars surrounding the main lesion (Figure 1(a)). Its color, shape, and consistency were similar to the nucleus of a cataractous lens (Figure 1(b)). Cornea was scarred (Figure 1(c)).
(a) Section shows lens with surrounding inflammatory infiltrates (hematoxylin and eosin, x100). (b) The higher magnification shows inflammatory cells consisting of polymorphonuclear cells, histiocytes, and engulfed lens matter and multinucleated giant cells (periodic acid Schiff's Stain, x400).
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fig2
Histopathologic examination of the excised mass showed the structure of a lens with disrupted fibres, devoid of capsule, and epithelium (Figure 2(a)). There were few multinucleated giant cells engulfing the lenticular fibre (Figure 2(b)).