Limbal dermoid in right eye in an infant: a case report
DOI:
https://doi.org/10.18203/2349-3291.ijcp20243485Keywords:
Amblyopia, Corneoscleral junction, Facial disfigurement, Limbal dermoid, Patching therapyAbstract
Limbal dermoids are congenital, benign tumors located at the corneoscleral junction, often associated with ocular surface abnormalities and potential facial disfigurement. They can vary in size and impact visual development depending on their location and extent. This case report describes an infant presenting with a mass growth in the right eye (RE) accompanied by facial disfigurement. The infant underwent a clinical examination, which confirmed the presence of a limbal dermoid in the right eye. The physician's management plan included initiating patching therapy for the left eye (LE) for 2 hours daily to stimulate visual development in the affected eye and to prevent amblyopia. A review was scheduled for 6 months later to monitor the dermoid's growth and assess visual acuity. Conservative management with regular monitoring was deemed appropriate due to the benign nature of the limbal dermoid and the absence of significant refractive error.
References
Abdolrahimzadeh S, Scavelli R, Felli L. Limbal dermoid: clinicopathological findings and surgical management. Biomed Res Int. 2015;2015:586430.
Shields CL, Mashayekhi A, Luo CK. Corneal/conjunctival dermoid in 300 cases: The 2014 James D. Allen Lecture. Ophthalmol. 2015;122(5):880-9.
Del Cerro M, Reinoso R, del Cerro MJ. Limbal dermoids: Case reports and review of the literature. Acta Ophthalmol Scand. 2001;79(3):229-32.
Manners RM, Bunce C, Adams GGW. Surgery for conjunctival/corneal limbal dermoids: Visual results and complications. Br J Ophthalmol. 2001;85(7):842-6.
Pirouzian A, Beharry K, Ferrone PJ. Limbal dermoids: Clinical presentation and therapeutic strategies. J Pediatr Ophthalmol Strabismus. 2013;50(5):281-6.
Karabela Y, Oner V, Turan-Vural E. Clinical characteristics and management of limbal dermoid. Eye Contact Lens. 2012;38(3):176-9.
Khokhar S, Agarwal T, Chaurasia S. Limbal dermoid: A management conundrum. Indian J Ophthalmol. 2018;66(5):662-4.
Fulton AB, Dobson V. Visual acuity development in children with early unilateral visual deprivation: A review of outcomes with occlusion therapy. J Pediatr Ophthalmol Strabismus. 2004;41(1):19-24.
Papageorgiou E, McLean RJ, Gottlob I. Management of amblyopia: A review of current practice and emerging trends. Ophthalmic Physiol Opt. 2019;39(4):290-9.
Foster A, Gilbert C. Ocular tumors in children: Clinical findings, treatments, and outcomes. Surv Ophthalmol. 2019;64(3):368-72.