Central corneal dermoid: a clinicopathologic correlation and review of the literature

The authors present a clinicopathologic correlation of a central corneal dermoid removed from a one-year-old child. Contrary to the initial clinical impression, the tumour involved the full thickness of the corneal stroma, necessitating a penetrating keratoplasty. After the graft became opaque, a second penetrating keratoplasty was required. In spite of the fact that the eye has remained amblyopic, its cosmetic appearance is excellent. Problems related to the management of central corneal dermoids are discussed.