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Related Experiment Videos

[Epibulbar dermoids--clinical features and therapeutic methods].

F Sommer1, L E Pillunat

  • 1Klinik und Poliklinik für Augenheilkunde, Medizinische Fakultät der Technischen Universität Dresden. falk.sommer@uniklinikum-dresden.de

Klinische Monatsblatter Fur Augenheilkunde
|October 23, 2004
PubMed
Summary

Epibulbar dermoids, congenital growths, often require surgical intervention for cosmetic or visual reasons. Early detection and treatment, including resection or keratoplasty, lead to favorable outcomes in most pediatric cases.

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Area of Science:

  • Ophthalmology
  • Congenital Abnormalities
  • Surgical Oncology

Background:

  • Epibulbar dermoids are congenital growths of mesodermal and ectodermal origin, typically located at the limbus.
  • While usually inferotemporal, they can rarely affect central cornea; intraocular involvement is uncommon.
  • Association with Goldenhar syndrome exists, necessitating comprehensive evaluation.

Purpose of the Study:

  • To evaluate the clinical presentation and management of pediatric epibulbar dermoids.
  • To assess surgical outcomes and long-term prognosis for affected children.

Main Methods:

  • Retrospective analysis of six pediatric patients (9 months to 6 years) with limbal dermoids.
  • Surgical interventions included local resection and various forms of keratoplasty (lamellar and penetrating).

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  • Follow-up included visual acuity assessment and monitoring for complications.

    • Main Results:

    • All patients presented with unilateral, inferotemporal epibulbar dermoids; five affected the left eye.
    • Two patients had associated Goldenhar syndrome.
    • Surgical outcomes varied from excellent visual acuity to the need for re-keratoplasty due to graft complications.

    Conclusions:

    • Regular follow-up and early surgical intervention are recommended for epibulbar dermoids.
    • Management strategies range from simple resection to combined keratoplasty, with penetrating keratoplasty reserved for severe cases.
    • The overall prognosis for pediatric epibulbar dermoids is favorable with appropriate management.