Dr. Nirupama Kasturi, N12194, Dr. K Ramesh Babu
Introduction: Epibulbar dermoids are choristomas involving cornea, limbus or ocular adnexal tissues. Majority are located in inferotemporal quadrant. They may be present on the ocular surface or extend to the deeper layers including descemet’s membrane and iris. Ocular dermoids may affect vision by involving the visual axis, inducing corneal astigmatism, anisometropic amblyopia. Enlarging limbal dermoids may also cause disturbance to the ocular surface tear film, forming dellen that result in surface irritation and discomfort.
Materials and methods: We describe a method of deep lamellar excision followed by sutured multilayered amniotic membrane transplantation in surgical management of corneal limbal dermoid. Three patients (1 male, 2 female; mean age, 12.3+/-5.0 years; range, 5.7-22.4 years) with 2 limbal dermoids and 1 adnexal dermoid undergoing lamellar corneosclerectomy followed by sutured multilayered amniotic membrane transplantation at a tertiary hospital. One patient had a unilateral double limbal dermoid in super temporal a