DR. VIDYA BHUSHAN KUMAR

Dr. RAKHI KUSUMESH, DR. PRAGATI RAJ

Abstract

A limbal dermoid is a congenital benign choristoma, which comprises tissues of ectodermal and mesodermal origins. The removal of a limbal dermoid is not only performed to improve the cosmetic appearance of the eye but more importantly to prevent loss of visual acuity caused by corneal astigmatism.

There are various techniques to remove Limbal dermoid which include bare excision, amniotic membrane transplantation, and even lamellar and penetrating keratoplasty. Major risks of the excision of the limbal dermoid are intraoperative perforation, postoperative epithelial defects and peripheral vascularization of the cornea.

Herein, we report a surgical technique for excising pediatric corneal limbal dermoid and suture less lamellar corneal graft in 2 patients. On postoperative follow-up, best-corrected visual acuity was 20/20; there was no sign of rejection seen. This technique offers an improved long-term stable ocular surface, and cosmesis.

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