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 |
| Published: |
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 |
| _version_ | 1819200309339095040 |
|---|---|
| author | Pirouzian A |
| author_facet | Pirouzian A |
| author_sort | Pirouzian A |
| collection | DOAJ |
| description | 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 |
| first_indexed | 2024-12-23T03:30:11Z |
| format | Article |
| id | doaj.art-bdccd9c6b5924b53a6ef366005d53072 |
| institution | Directory Open Access Journal |
| issn | 1177-5467 1177-5483 |
| language | English |
| last_indexed | 2024-12-23T03:30:11Z |
| publishDate | 2013-03-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj.art-bdccd9c6b5924b53a6ef366005d530722022-12-21T18:01:43ZengDove Medical PressClinical Ophthalmology1177-54671177-54832013-03-012013default607614Management of pediatric corneal limbal dermoidsPirouzian AAmir 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 adhesivehttp://www.dovepress.com/management-of-pediatric-corneal-limbal-dermoids-a12616 |
| spellingShingle | Pirouzian A Management of pediatric corneal limbal dermoids Clinical Ophthalmology |
| title | Management of pediatric corneal limbal dermoids |
| title_full | Management of pediatric corneal limbal dermoids |
| title_fullStr | Management of pediatric corneal limbal dermoids |
| title_full_unstemmed | Management of pediatric corneal limbal dermoids |
| title_short | Management of pediatric corneal limbal dermoids |
| title_sort | management of pediatric corneal limbal dermoids |
| url | http://www.dovepress.com/management-of-pediatric-corneal-limbal-dermoids-a12616 |
| work_keys_str_mv | AT pirouziana managementofpediatriccorneallimbaldermoids |