Case Report
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Year 2020, Volume: 2 Issue: 3, 89 - 91, 29.10.2019

Tuncay Artuç , Muhammed Batur , Serek Tekin , Erbil Seven Tekin Yaşar

Abstract

Limbal dermoids are among the most common tumors of the corneal limbus. It may be isolated or accompanied to syndromes, especially Goldenhar syndrome. Patients generally present with low visual acuity, foreign body sensation, large ocular mass, and cosmetic discomfort. The diagnosis is made by ophthalmological examination. In the differential diagnosis, foreign body granuloma, staphyloma, hemangioma, atypical pterygium should be considered. Although it is a benign lesion, the treatment approach of this tumor, which is seen especially in childhood, is not only for cosmetic purposes, but mainly to prevent vision loss. In this article, we investigated the change of astigmatism after dermoid excision surgery in a 5-year-old male patient with high astigmatism, anisometropic amblyopia and corneal irritation findings due to limbal dermoid.

Keywords

Amblyopia Anisometropia Astigmatism Limbal Dermoid

Project Number

YOK

References

  • 1. Duke-Elder S. System of Ophthalmology: Congenital and Developmental Anomalies. 1963. Vol 3: 488-495.
  • 2. Baum JL, Feingold M. Ocular aspects of Goldenhar's syndrome. Am J Ophthalmol. 1973 Feb. 75(2):250-7.
  • 3. Watts P, Michaeli-Cohen A, Abdolell M, Rootman D. Outcome of lamellar keratoplasty for limbal dermoids in children. J AAPOS. 2002 Aug;6(4):209-15.
  • 4. Kaufman A, Medow N, Phillips R, Zaidman G, Wagner RS. Treatment of epibulbar limbal dermoids [clinical conference]. J Ophthalmic Nurs Technol 1999;18:172-6.
  • 5. Zhong J, Deng Y, Zhang P, Li S, Huang H, Wang B, Zhang H, Peng L, Yang R, Xu J, Jin Yuan J. New Grading System for Limbal Dermoid: A Retrospective Analysis of 261 Cases Over a 10-Year Period. Cornea. 2018 Jan; 37(1): 66–71. Published online 2017 Oct 24. doi: 10.1097/ICO.0000000000001429.
  • 6. Mansour AM, Barber JC, Reinecke RD, Wang FM. Ocular choristomas. Surv Ophthalmol. 1989 Mar-Apr. 33(5):339-58.
  • 7. Mohan M, Mukherjee G, Panda A. Clinical evaluation and surgical intervention of limbal dermoid. Indian J Ophthalmol 1981;29:69–73.
  • 8. Panton RW, Sugar J. Excision of limbal dermoids. Ophthalmic Surg 1991;22:85–9.
  • 9. Tormey P, Bilic Cace I, Boyle MA. Ocular dermoid in Pai Syndrome: A review. Eur J Med Genet. 2017 Apr;60(4):217-219. doi: 10.1016/j.ejmg.2017.01.008.
  • 10. Scott JA, Tan DT. Therapeutic lamellar keratoplasty for limbal dermoids. Ophthalmology. 2001 Oct;108(10):1858-67.
  • 11. Spierer O, Gologorsky D, Adler E, Forster RK. Lamellar keratoplasty with corneoscleral graft for limbal dermoids. Int J Ophthalmol. 2018 Mar 18;11(3):512-515. doi: 10.18240/ijo.2018.03.24. eCollection 2018.
  • 12. Pirouzian A, Holz H, Merrill K, Sudesh R, Karlen K. Surgical management of pediatric limbal dermoids with sutureless amniotic membrane transplantation and augmentation. J Pediatr Ophthalmol Strabismus. 2012 Mar-Apr;49(2):114-9. doi: 10.3928/01913913-20110823-01.
  • 13. Robb RM. Astigmatic refractive errors associated with limbal dermoids. J Pediatr Ophthalmol Strabismus. 1996; 33:241–243.
  • 14. Burillon C, Durand L. Solid dermoids of the limbus and the cornea. Ophthalmologica 1997;211:367–72.

Limbal dermoidin neden olduğu astigmatizmanın düzeltilmesinde cerrahi eksizyonun etkisi

Year 2020, Volume: 2 Issue: 3, 89 - 91, 29.10.2019

Tuncay Artuç , Muhammed Batur , Serek Tekin , Erbil Seven Tekin Yaşar

Abstract

Limbal dermoidler kornea limbusunun en sık görülen tümörleri arasında yer almaktadır. İzole olabileceği gibi özellikle goldenhar sendromu olmak üzere sendromlara eşik edebilir. Hastalar genel olarak düşük görme keskinliği, yabancı cisim hissi, büyük oküler kitle, kozmetik rahatsızlık şikayetleriyle başvururlar. Tanı oftalmolojik muayene ile konur. Ayırıcı tanıda yabancı cisim granülomu, stafilom, hemanjiom, atipik pterjium düşünülmelidir. Benign bir lezyon olmasına rağmen özellikle çocukluk çağında görülen bu tümöre tedavi yaklaşımı sadece kozmetik amaçlı olmayıp esasen görme kaybını engellemeye yöneliktir. Bu makalede limbal dermoide bağlı gelişen yüksek astigmatizma, anizometropik ambliyopi ve korneal irritasyon bulguları olan 5 yaşındaki erkek hastada dermoid eksizyonu ameliyatı sonrası astigmatizmanın değişimini inceledik.

Keywords

Limbal dermoid Astigmatizma Ambliyopi Anizometropi

Supporting Institution

YOK

Project Number

YOK

Thanks

YOK

References

  • 1. Duke-Elder S. System of Ophthalmology: Congenital and Developmental Anomalies. 1963. Vol 3: 488-495.
  • 2. Baum JL, Feingold M. Ocular aspects of Goldenhar's syndrome. Am J Ophthalmol. 1973 Feb. 75(2):250-7.
  • 3. Watts P, Michaeli-Cohen A, Abdolell M, Rootman D. Outcome of lamellar keratoplasty for limbal dermoids in children. J AAPOS. 2002 Aug;6(4):209-15.
  • 4. Kaufman A, Medow N, Phillips R, Zaidman G, Wagner RS. Treatment of epibulbar limbal dermoids [clinical conference]. J Ophthalmic Nurs Technol 1999;18:172-6.
  • 5. Zhong J, Deng Y, Zhang P, Li S, Huang H, Wang B, Zhang H, Peng L, Yang R, Xu J, Jin Yuan J. New Grading System for Limbal Dermoid: A Retrospective Analysis of 261 Cases Over a 10-Year Period. Cornea. 2018 Jan; 37(1): 66–71. Published online 2017 Oct 24. doi: 10.1097/ICO.0000000000001429.
  • 6. Mansour AM, Barber JC, Reinecke RD, Wang FM. Ocular choristomas. Surv Ophthalmol. 1989 Mar-Apr. 33(5):339-58.
  • 7. Mohan M, Mukherjee G, Panda A. Clinical evaluation and surgical intervention of limbal dermoid. Indian J Ophthalmol 1981;29:69–73.
  • 8. Panton RW, Sugar J. Excision of limbal dermoids. Ophthalmic Surg 1991;22:85–9.
  • 9. Tormey P, Bilic Cace I, Boyle MA. Ocular dermoid in Pai Syndrome: A review. Eur J Med Genet. 2017 Apr;60(4):217-219. doi: 10.1016/j.ejmg.2017.01.008.
  • 10. Scott JA, Tan DT. Therapeutic lamellar keratoplasty for limbal dermoids. Ophthalmology. 2001 Oct;108(10):1858-67.
  • 11. Spierer O, Gologorsky D, Adler E, Forster RK. Lamellar keratoplasty with corneoscleral graft for limbal dermoids. Int J Ophthalmol. 2018 Mar 18;11(3):512-515. doi: 10.18240/ijo.2018.03.24. eCollection 2018.
  • 12. Pirouzian A, Holz H, Merrill K, Sudesh R, Karlen K. Surgical management of pediatric limbal dermoids with sutureless amniotic membrane transplantation and augmentation. J Pediatr Ophthalmol Strabismus. 2012 Mar-Apr;49(2):114-9. doi: 10.3928/01913913-20110823-01.
  • 13. Robb RM. Astigmatic refractive errors associated with limbal dermoids. J Pediatr Ophthalmol Strabismus. 1996; 33:241–243.
  • 14. Burillon C, Durand L. Solid dermoids of the limbus and the cornea. Ophthalmologica 1997;211:367–72.
There are 14 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Case Report
Authors

Tuncay Artuç 0000-0001-8056-9034

Muhammed Batur

Serek Tekin

Erbil Seven This is me 0000-0001-5629-291X

Tekin Yaşar This is me 0000-0003-0842-0686

Project Number YOK
Publication Date October 29, 2019
Submission Date April 16, 2020
Acceptance Date June 6, 2020
Published in Issue Year 2020 Volume: 2 Issue: 3

Cite

AMA Artuç T, Batur M, Tekin S, Seven E, Yaşar T. Limbal dermoidin neden olduğu astigmatizmanın düzeltilmesinde cerrahi eksizyonun etkisi. Hitit Medical Journal. October 2019;2(3):89-91.
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