Limbal dermoids rank among the most common tumors of the corneal limbus. They are ocular choristomas and can occur in a variety of sizes. Images in Clinical Medicine from The New England Journal of Medicine — Limbal Dermoid. Images in Clinical Medicine from The New England Journal of Medicine — The Hairy Eyeball — Limbal Dermoid.

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Our reason for using amniotic membrane was to achieve a reduction of postoperative inflammation and scarring. Enucleation or evisceration with subsequent orbital reconstruction has been proposed for grade III limbal dermoids where the globe is microphthalmic.

The case we present here is certainly a more mild variation of the Goldenhar condition. Dermoidd Surg Laser Imaging. National Center for Biotechnology InformationU.

Support Center Support Center. Abstract This paper reviews the data in the published literature PubMed from to concerning the medical and surgical management of pediatric limbal dermoids. Given this, surgical removal of the limbal dermoid on the left side can be postponed indefinately.

Management of pediatric corneal limbal dermoids

Autologous human fibrin glue in multilayered amniotic membrane transplantation. However, if adherence with spectacle wear is good in dermojd setting of large, regular, and oblique astigmatism, and adequate follow-up for clinical treatment of amblyopia is possible, surgeons may opt to defer surgical intervention.

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The patient had mild neonatal jaundice not requiring treatment. Published online May Amniotic membrane use in ophthalmology.

Goldenhar Syndrome (Oculo-Auriculo-Vertebral Spectrum):

Intraoperative complications did not occur in any of the patients. Epibulbar dermoids may present as a single lesion or as multiple lesions. Lmibal a total of 11 patients with deep corneal ulcers, The appropriate time of intervention and the best surgical technique for removal of the pediatric limbal dermoids are subject to discussion.

A complete removal of the dermoid was achieved in all but one of the operated eyes. Clinicopathologic features of excised mitomycin filtering blebs.

Temporary signs of ischemia after treatment with Mitomycin C Figure 2b resolved completely and did not pose any further complications.

Methods The dwrmoid of 12 consecutive patients 14 eyeswho underwent monocentric surgery of a limbal demoid in the past 9 years, were dermodi analyzed for intra and postoperative complications.

Lazzaro DR, Coe R. Presence or lack of amblyopia must be established. We invited the involvement of the Medical Genetics team to evaluate the patient and aid in additional work-up for more serious malformations that can occur in the oculo-auriculo-vertebral spectrum.

Management of pediatric corneal limbal dermoids

When applicable, we assessed the best corrected visual acuity at each follow-up. A thorough history should be taken from the parents, and serial in-office examinations with cycloplegic retinoscopy must be performed to monitor the size of the corneal dermoid. The amniotic membrane is known to differentiate into conjunctival epithelial cells, and amniotic membrane tissue provides a natural biological substrate for indigenous corneal stromal growth and epithelial cell differentiation with subsequent reduction in postoperative scar formation.


Outcome of lamellar keratoplasty for limbal dermoids in children. Newborn infant lives at home with his parents. Amniotic membrane transplantation for conjunctival tumor. Treatment for the disease varies according to the severity of manifestation. Technique for the removal of limbal dermoids. Introduction Epibulbar dermoids are the most common episcleral choristomas, ie, congenital overgrowth of normal tissues by collagenous connective tissue covered by epidermoid epithelium in an abnormal location, and involving the globe in children.

Mader and Stulting have reported use of deep excision and deep lamellar keratoplasty with placement of eight equally spaced interrupted or running nylon sutures for limval removal of a grade II limbal dermoid limbsl a single case report.

Small skin tags on the right cheek and preauricular area see Figure 2C can be removed, if desired, for cosmesis as the child grows. Thirteen patients underwent simple surgical excision to remove their dermoid at ages ranging from 8 months to 15 years.