New surgical approach for limbal dermoids in children: simple excision, corneal tattooing, and sutureless limboconjunctival autograft.

Abstract

PURPOSE:

To evaluate the efficacy of combined surgery of simple excision, corneal tattooing, and a sutureless limboconjunctival autograft in pediatric patients with grade 1 limbal dermoids.

METHODS:

We treated 4 eyes of 4 patients with combined surgery of corneal tattooing and a sutureless limboconjunctival autograft with simple excision of limbal dermoids. Preoperative and postoperative visual acuity, postoperative recovery time, cosmetic improvements, patient compliance, and complication rates were reviewed.

RESULTS:

The mean follow-up period in this study was 27.3 ± 2.8 (range, 24-30) months. Visual acuity was stable during the follow-up period. Resolution of patient discomfort and wound epithelialization was achieved in 1 week. Cosmetic outcomes improved in view of corneal opacity and conjunctival vascularization. All patients were satisfied with the cosmetic results with no complications.

CONCLUSIONS:

Corneal tattooing and a sutureless limboconjunctival autograft after simple excision of limbal dermoids can lead to a satisfactory cosmetic outcome, better compliance, and early postoperative recovery without complications for grade 1 limbal dermoids in pediatric patients.

• Authors: Jinho Jeong, Young-Jin Song, Seung-Il Jung, Ji-Won Kwon
• Journal: Cornea (Cornea) Vol. 34 Issue 6 Pg. 720-3 (Jun 2015) ISSN: 1536-4798 [Electronic] United States
• PMID: 25881973 (Publication Type: Case Reports, Journal Article)

Topics

• Adolescent
• Child
• Child, Preschool
• Conjunctiva (surgery)
• Corneal Diseases (pathology, surgery)
• Dermoid Cyst (pathology, surgery)
• Eye Neoplasms (pathology, surgery)
• Female
• Humans
• Limbus Corneae (pathology, surgery)
• Ophthalmologic Surgical Procedures
• Retrospective Studies
• Suture Techniques
• Tattooing
• Transplantation, Autologous