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  • Title: New surgical approach for limbal dermoids in children: simple excision, corneal tattooing, and sutureless limboconjunctival autograft.
    Author: Jeong J, Song YJ, Jung SI, Kwon JW.
    Journal: Cornea; 2015 Jun; 34(6):720-3. PubMed ID: 25881973.
    Abstract:
    PURPOSE: To evaluate the efficacy of combined surgery of simple excision, corneal tattooing, and a sutureless limboconjunctival autograft in pediatric patients with grade 1 limbal dermoids. METHODS: We treated 4 eyes of 4 patients with combined surgery of corneal tattooing and a sutureless limboconjunctival autograft with simple excision of limbal dermoids. Preoperative and postoperative visual acuity, postoperative recovery time, cosmetic improvements, patient compliance, and complication rates were reviewed. RESULTS: The mean follow-up period in this study was 27.3 ± 2.8 (range, 24-30) months. Visual acuity was stable during the follow-up period. Resolution of patient discomfort and wound epithelialization was achieved in 1 week. Cosmetic outcomes improved in view of corneal opacity and conjunctival vascularization. All patients were satisfied with the cosmetic results with no complications. CONCLUSIONS: Corneal tattooing and a sutureless limboconjunctival autograft after simple excision of limbal dermoids can lead to a satisfactory cosmetic outcome, better compliance, and early postoperative recovery without complications for grade 1 limbal dermoids in pediatric patients.
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