eMedicine Specialties > Ophthalmology > Cornea
Dermoid, Limbal: Treatment & Medication
Updated: Aug 2, 2007
- Overview
- Differential Diagnoses & Workup
- Treatment & Medication
- Follow-up
- Multimedia
Treatment
Surgical Care
- Treatment of limbal dermoids may consist of periodic removal of irritating cilia, topical lubrication to prevent foreign body sensation, or excision of the lesion if it is causing significant cosmetic disfigurement or interfering with vision.
- Surgical treatment should be instituted only when the risk of subsequent scar formation or surgical complications are outweighed by the likelihood of improving the patient's vision or cosmetic appearance.
- A superficial sclerokeratectomy, cutting flush with the surface of the globe, is the procedure of choice for removal of the dermoid. Excised tissue always should be sent to the pathologist for examination.
- Attempts at complete removal are unnecessary. The lesion may extend into the deeper structures of the eye and the risk of perforation increases if attempts are made to remove the lesion completely.
- The exposed sclera should be covered by relaxing the adjacent conjunctiva and sewing it into the scleral defect. If a deep excision is necessary, then a lamellar keratoplasty can be performed to reinforce the site of excision.
Consultations
- Obtaining a thorough family and medical history helps determine whether further consultation is necessary.
- In some cases, referral to a pediatrician with specialization in genetics is appropriate.
More on Dermoid, Limbal |
| Overview: Dermoid, Limbal |
| Differential Diagnoses & Workup: Dermoid, Limbal |
Treatment & Medication: Dermoid, Limbal |
| Follow-up: Dermoid, Limbal |
| Multimedia: Dermoid, Limbal |
| References |
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References
Baum JL, Feingold M. Ocular aspects of Goldenhar's syndrome. Am J Ophthalmol. Feb 1973;75(2):250-7. [Medline].
Duke-Elder S. System of Ophthalmology: Congenital and Developmental Anomalies. Vol 3. 1963:488-495.
Henkind P, Marinoff G, Manas A, Friedman A. Bilateral corneal dermoids. Am J Ophthalmol. Dec 1973;76(6):972-7. [Medline].
Mann I. Developmental Abnormalities of the Eye. 1957:357-364.
Mansour AM, Barber JC, Reinecke RD, Wang FM. Ocular choristomas. Surv Ophthalmol. Mar-Apr 1989;33(5):339-58. [Medline].
Yanoff M, Fine B. Ocular Pathology. 1982:316-317.
Further Reading
Keywords
dermoid, dermoid choristoma, dermoid cyst, epibulbar dermoid, epibulbar choristoma, corneal dermoid
Treatment & Medication: Dermoid, Limbal