March 2012
Volume 53, Issue 14
ARVO Annual Meeting Abstract  |   March 2012
Cosmetic And Refractive Results Of Lamellar Grafts In Corneal Dermoids
Author Affiliations & Notes
  • Fasika A. Woreta
    Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida
  • Anil Vedula
    Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida
  • David Goldman
    Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida
  • Richard Forster
    Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida
  • Footnotes
    Commercial Relationships  Fasika A. Woreta, None; Anil Vedula, None; David Goldman, None; Richard Forster, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science March 2012, Vol.53, 6045. doi:
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      Fasika A. Woreta, Anil Vedula, David Goldman, Richard Forster; Cosmetic And Refractive Results Of Lamellar Grafts In Corneal Dermoids. Invest. Ophthalmol. Vis. Sci. 2012;53(14):6045.

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      © ARVO (1962-2015); The Authors (2016-present)

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Purpose: : To describe cosmetic and refractive results of a lamellar keratoplasty technique for removal of limbal dermoids.

Methods: : All charts of patients with limbal dermoids requiring surgical removal who presented to a single surgeon at the Bascom Palmer Eye Institute were reviewed. The surgical technique involved deep lamellar dissection to remove the dermoid followed by grafting with a same size corneosceral graft prepared from a whole eye. Information on refraction and best-corrected visual acuity (BCVA) were collected at each visit.

Results: : Seven patients (5 females and 2 males) underwent excision of limbal dermoids by lamellar excision and corneoscleral keratoplasty. The mean age at the time of surgery was 13.9 years (range 6-33 years). One patient had systemic findings consistent with Goldenhar’s syndrome. The mean duration of follow-up after surgery was 9.3 months (range 1 week-3 years). All patients were concomitantly treated with spectacle correction and those with amblyopia underwent patching therapy. Pre-operative BCVA ranged from 20/25 to 20/50. Post-operative BCVA ranged from 20/25 to 20/60. All patients had an improvement in BCVA, except for the patient who only had one-week of follow-up available. The amount of astigmatism did not significantly worsen post-operatively. All patient had excellent cosmetic outcome.

Conclusions: : Excision of limbal dermoids with corneoscleral grafts is an effective, safe surgical procedure resulting in excellent functional and cosmetic outcome.

Keywords: anterior segment • cornea: clinical science • clinical (human) or epidemiologic studies: outcomes/complications 

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