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A 69-year-old patient developed a localised, whitish, elevated, corneal lesion with a smooth and glistening surface following trauma, without evidence of corneal perforation. Twelve months later, the lesion showed evidence of slow growth. An excisional biopsy was then performed. Histopathologically, the lesion was covered by non-keratinised squamous epithelium and was comprised of randomly oriented collagen fibres containing active fibroblasts. Blood vessels were noted deep in the lesion. Ultrastructurally, the cell population was formed by fibroblasts and myofibroblasts, similar to keloids of the skin. The clinical, pathological, and ultrastructural features of the corneal lesion are compatible with a corneal keloid. (BrJ7 Ophthalmol 1994; 78: 568-571) Corneal keloids are rare lesions that can develop in cases of corneal insult. 1-13 They can be present at any age and can appear as a single, solitary nodule or involve the entire corneal stroma. Keloids in general represent forms of hypertrophic scars produced by prolonged and excessive deposition of collagen and extend beyond the confines of the original trauma. 14 15Reported cases of corneal keloid are not common in the literature.1''3 Only one case was reported in a series of 302 cases of epibulbar tumours in children.'6 We report a case of an adult patient who developed a well localised corneal keloid following trauma. We initially examined the patient 5 months after the trauma, and observed the progression of the lesion over a 12-month period.Case report A