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K.G. Yen, M.T. Yen; Current Trends in the Surgical Management of Dermoid Cysts Among Pediatric Ophthalmologists . Invest. Ophthalmol. Vis. Sci. 2005;46(13):669.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: : To survey the membership of American Association for Pediatric Ophthalmology and Strabismus (AAPOS) on their preferences in the management of orbital dermoid cysts. Methods: The 689 active members of AAPOS were surveyed by mail on their preferences in the management of orbital dermoid cysts. The members were surveyed regarding their use of imaging, timing of surgery, surgical approach, use of corticosteroids, and satisfaction of results. Results: 63.3% of those surveyed responded. 75.8% of respondents performed orbital dermoid excisions in their pediatric ophthalmology practice, with 83.23% of these members performing less than five excisions a year. Imaging was always obtained by 9.5%, never obtained by 9.5% and obtained for specific reasons by 81.0%. CT scan was the preferred imaging modality of 66.2% of respondents. Surgery was deferred until greater than 6 months of age by 68.9%, and 71.9% cited anesthetic risk as the reason for waiting. Surgical approaches used were sub–brow incison (53.9%), eyelid crease incision (15.8%), or either sub–brow or eyelid crease incision (22.6%). 96.0% of respondents never used adjunct corticosteroids, and 99.2% of respondents were very satisfied with their surgical results. Conclusions: The majority of AAPOS members defer orbital dermoid surgery until age 6 months of age due to anesthesia risk in children, use the sub–brow incision to approach the excision, and obtain imaging only for specific reasons. The vast majority of respondents never use systemic corticosteroids in conjunction with surgery and are satisfied with their surgical results.
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