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Congenital Limbal Dermoid & it's 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

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