Congenital Limbal Dermoid & its Grading
Solid, benign, congenital tumour.
Most common location: Infero-temporal limbus.
Classified as Choristomas (contain cellular elements not normally present in that location).
Described as elevated, yellowish-white, solid, vascularised, elevated nodules usually 2-15mm in diameter.
Gonioscopy and UBM: can tell us depth of extension of dermoid.
Management:
Usually a cosmetic problem.
Visual acuity is affected when they enroach into the pupillary area by tumour/ lipid infiltration that is present around the periphery.
Irregular astigmatism - meridional amblyopia.
Spectacles.
Patching for amblyopia.
Excision of dermoid.
Penetrating keratoplasty/ Lamellar keratoplasty.
Look above to see the grading of dermoids!
www.ophthalmobytes.com
Image from Rajan Eye Care Hospital #ophthalmology#ophthal#doctor#health#medical#vision#education#optometry#medicalstudent#optometrist#medicine#eye#ophtho#ophthalmologist#ophthalmo#med#medicaleducation#ophthalmologyresident#ophthalmologyresidency#apaoyo#dermoid#limbaldermoid#conjunctiva
