Öz
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.
Anahtar Kelimeler
Proje Numarası
YOK
Kaynakça
- 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.
Öz
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.
Anahtar Kelimeler
Destekleyen Kurum
YOK
Proje Numarası
YOK
Teşekkür
YOK
Kaynakça
- 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.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Proje Numarası | YOK |
| Yayımlanma Tarihi | 29 Ekim 2019 |
| Gönderilme Tarihi | 16 Nisan 2020 |
| Kabul Tarihi | 6 Haziran 2020 |
| Yayımlandığı Sayı | Yıl 2020 Cilt: 2 Sayı: 3 |
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