| 본문 : Axenfeld nerve loops are common, but enlargement of a nerve loop has not been reported, to our knowledge. We report a rare case of an Axenfeld nerve loop that grew larger. A 61-year-old woman had a non-tender, well-circumscribed, subconjunctival nodular lesion associated with tortuous episcleral vessels, which was found accidentally. The episcleral mass, measuring 1.6 × 1.2 mm, was located approximately 3 mm from the limbus in the inferonasal quadrant. Five months later, slight enlargement of the mass was observed (1.8 × 1.5 mm). The lesion was excised and microscopic examination of histological sections revealed nerve bundles with cleft formation and interstitial myxomucoid degeneration. We report a rare case of an enlarging Axenfeld nerve loop that showed abnormal degeneration of the ciliary nerve. When such a nodule is found to be progressively enlarging, surgical excision may be required to rule out other tumors. |