Acta Scientific Ophthalmology (ASOP)(ISSN: 2582-3191)

Short Communication Volume 4 Issue 4

Scenario of LimbalDermoid

Gowhar Ahmad*

Senior Consultant Ophthalmologist, Florence Hospital and University of Jammu and Kashmir, Jammu andKashmir, India

*Corresponding Author: Gowhar Ahmad, Senior Consultant Ophthalmologist, Florence Hospital andUniversity of Jammu and Kashmir, Jammu and Kashmir, India.

Received: February 22, 2021; Published: March 10, 2021;

Keywords: Limbal Dermoid; Preauricular Skin Tag; Preauricular Appendage; Goldenhar Syndrome; Squint; Anophthalmos Coloboma u Lid Anophthalmos; Microphthalmos Blephrophmosis Syndrome

  Limbaldermoid are kind of cong anomalies have got genetic predisposition are associated with other associated with other cong Anomalies of ant segment.

  They are usually unilateral however in rare conditions can be bilateral if associated with cong presence of preauricular skin tag or preauricular apo engage the condition is known as Goldenhar Syndrome Maurice Goldenharan Australian ophthalmologist who in the year 1850 was the first to describe this syndrome complex sometimes presence of squint anophthalmos coloboma of the upper lid iris retina astigmatism microphthalmos blepharophimosis syndrome however it is very rare.

  Limbaldermoid may involve entire cornea or may be only confined to conjunctiva.

  Graded according to corneal involvement:

  • Grade I is epithelial involvement.
  • Grade 2 Descemet's membrane involvement.
  • Grade 3 is involvement of entire ant segment.

  Incidence of limbal dermoid in GBHsyndrome is 1 in 10,000.

  Inferotemporal site is the commonest about 70 percent.

  If limbal dermoid is not involving pupillary are then the treatment is only observation and reassurance to parents.

  However, if involvement of visual axis occurs to threaten vision the surgery is the modality of treatment which is both:

  • Visual and cosmetic
  • Lamellar kerataplasty
  • Autograft
  • Stem cell graft
  • Amniotic membrane graft
  • Smile lenticule tattooing fibrin glue.

Discussion

  Limbaldermoid are cong lesions which are graded according to corneal involvement grade 1 2 and 3 one has to see their associated cong anomalies.

  However, if they do not involve visual axis treatment is only observations and reassurance to parents if visual axis is involved the surgery is modality of treatment both visual and cosmetic.

(Figure)

Figure:Figure

Conflict of Interest

  Ihave no financial interest in publishing this article.

Citation

Citation: Gowhar Ahmad. “Scenario of Limbal Dermoid". Acta Scientific Ophthalmology 4.4 (2021): 79-80.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

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