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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.
Objectives:
To describe a modified technique of corneal tattooing for concomitant cosmetic rehabilitation in eyes with limbal dermoid.
Study:
Case series.
Methods:
Three patients between 12 and 20 years of age with grade I limbal dermoid underwent shave excision with corneal tattooing. All patients had dark brown irides. Chemical keratopigmentation was performed over the bed using 2% gold chloride with 1% hydrazine hydrate as reducing agent to yield a dark brown color. Bandage contact lens was applied.
Results:
Epithelium over the operated area healed by day 10. Visual acuity was maintained in all eyes with minimal change in keratometry. The dye was well retained in the tattooed area at 1 year. No complications such as infection, pseudopterygium, or local limbal stem-cell deficiency were observed.
Conclusion:
Corneal tattooing along with simple shave excision provides good cosmetic results in cases of limbal dermoids.
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