Multiple soft fibromas of the lid

• Main Authors: Manuel John, Sarah Chirayath, Smitha Paulson
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2015-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Intraocular; lymphoma; retina; vitreous; Conjunctiva; cornea; melanoma; ocular surface; ocular surface squamous neoplasia; tumor; Brachytherapy; chemotherapy; cryopexy; intra ocular tumors; photocoagulation; Animal uveitis model; cytomegalovirus retinitis animal model; endotoxin-induced uveitis; experimental autoimmune uveitis; spontaneous; tubercular uveitis animal model; India; genetics; retinoblastoma; review; Glaucoma; heavy silicone oil; light silicone oil; ocular hypertension; retinal detachment; standard silicone oil; Adults; blue sclera; keratoglobus; management; pediatric patients; Choroid; hypertension; optic coherence tomography; Choroidal thickness; enhanced depth imaging; hypothyroidism; intraocular pressure; optical coherence tomography; A pattern; disc foveal angle; intorsion; superior oblique split lengthening; Blind schools; cataract; corneal scar; hereditary diseases; ocular morbidity; prevention of blindness; Intraocular lens dislocation; ocular trauma; pseudophacocele; subconjunctival hemorrhage; Acrochordons; fibro-epithelial polyps; fibroma; giant soft fibroma; skin tags
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2015;volume=63;issue=3;spage=262;epage=264;aulast=John

Fibromas are benign tumors that are composed of fibrous or connective tissue. They can grow in all organs, arising from mesenchymal tissue (a type of loose connective tissue). The term "fibroblastic" or "fibromatous" is used to describe tumors like the fibroma. This 69-year-old male presented to us with giant, multiple, very slowly progressive, painless, noninflammatory, soft, trans-illuminant, pedunculated lid swellings with a two decade history. There were no other swellings on the body. He was clinically normal on systemic examination except for the immature cataracts in both eyes. The diagnosis was confirmed on histopathology. Simple excision removed all the soft fibromas virtually leaving no scar. A review of literature world-wide using Medline Plus/PubMed revealed this to be the only reported case of multiple giant soft fibromas of the lid.