Management of pediatric corneal limbal dermoids
Amir Pirouzian1,21Tayani Institute, Division of Ophthalmology and Cornea, Mission Viejo in affiliation with Children’s Hospital of Orange County at Mission Hospital, CA, USA; 2Rady’s Children’s Hospital of San Diego, San Diego, CA, USAAbstract: This paper reviews the da...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2013-03-01
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| Series: | Clinical Ophthalmology |
| Online Access: | http://www.dovepress.com/management-of-pediatric-corneal-limbal-dermoids-a12616 |
| Summary: | Amir Pirouzian1,21Tayani Institute, Division of Ophthalmology and Cornea, Mission Viejo in affiliation with Children’s Hospital of Orange County at Mission Hospital, CA, USA; 2Rady’s Children’s Hospital of San Diego, San Diego, CA, USAAbstract: This paper reviews the data in the published literature (PubMed from 1937 to 2011) concerning the medical and surgical management of pediatric limbal dermoids. Current standard medical treatment for grade I pediatric limbal dermoids (ie, with superficial corneal involvment) is initially conservative. In stages II (ie, affecting the full thickness of the cornea with/without endothelial involvement) and III (ie, involvement of entire cornea and anterior chamber), a combination of excision, lamellar keratoplasty, and amniotic membrane and limbal stem cell tranplantation are advocated. Combinations of these approaches seem to yield better and more stable long-term ocular surface cosmesis and fewer complications in comparison with traditional methods of excision and lamellar keratoplasty. Management of amblyopia (i.e. occlusion treatment, chemical penalization with/without spectacle wear, etc) must continue after surgical excision to yield optimal results when or if the surgery is done at a younger age.Keywords: limbal dermoid, amniotic membrane, surgical management, tissue adhesive |
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| ISSN: | 1177-5467 1177-5483 |