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Shave Excision With Keratopigmentation for Limbal Dermoid.
Pooja Bandivadekar1, Tushar Agarwal, Shreyas Temkar
1Division of Cornea and Refractive Surgery (P.B.), Department of Ophthalmology, Doctor Eye Institute, Mumbai, Maharashtra, India; and Division of Cornea and Refractive Surgery (T.S., T.A.), Department of Ophthalmology, Rajendra Prasad Institute of Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
This study presents a modified corneal tattooing technique for limbal dermoid repair. The procedure offers excellent cosmetic outcomes and maintains visual acuity without complications.
Area of Science:
- Ophthalmology
- Regenerative Medicine
Background:
- Limbal dermoids are congenital tumors that can cause cosmetic concerns.
- Current treatments may not fully address aesthetic rehabilitation.
Observation:
- A case series of three patients (ages 12-20) with grade I limbal dermoid.
- Shave excision followed by corneal tattooing using 2% gold chloride and 1% hydrazine hydrate.
- Dark brown irides were present in all patients.
Findings:
- Successful cosmetic rehabilitation achieved through corneal tattooing.
- Epithelial healing by day 10 with maintained visual acuity and minimal keratometry changes.
- Dye retention at 1 year with no observed complications like infection or stem cell deficiency.
Implications:
- Corneal tattooing is a safe and effective adjunct to shave excision for limbal dermoids.
- This technique offers significant cosmetic improvement for affected individuals.
- Further research can explore long-term efficacy and variations in dye application.
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