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Grade II limbal dermoid excision and lamellar graft in 11 months old baby

 

"Research Article"

American Journal of BioMedicine  Volume 3, Issue 3, pages 111-121, March 2015


Zaid Yousif Hameed Shukur

Abstract

Epibulbar dermoids are the most common episcleral choristomas, these lesions may present unilaterally or bilaterally, and the majority (85%) are located in regions of the bulbar conjunctiva, limbus, cornea, and/or caruncles.  An 11 months old male baby presented to my office by his parents, they were worry about a mass in his right eye. I examined the baby started to inspect his eyes by a torch then by the slit lamp biomicroscope  and it revealed large elevated white pale mass with overlying hairs and slight yellow tinge on the surface of the mass, clinically it is a limbal dermoid on the inferotemporal aspect of the right globe. Congenital limbal dermoid in this case was according to surgical size and depth is regarded as grade II limbal dermoid, which in such case need for surgical excision because it cause high degree of astigmatism, the other indications include the effect on the visual axis, the dellen formation in adjacent corneal surface and also surgical indication for cosmetic purpose. In this case it caused high astigmatism with amblyopia in addition to the cosmetic effect on the patient's eye.

Keywords: Limbal dermoid; Dellen formation; Slit lamp; Anisometropic amblyopia


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