Outcome of lamellar keratoplasty for limbal dermoids in children

Watts, Patrick; Michaeli‐Cohen, Adi; Abdolell, Mohamed; Rootman, David S.

doi:10.1067/mpa.2002.124651

Cited by 55 publications

(31 citation statements)

References 9 publications

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“…In contrast, only 25.5% of corneal dermoid tumors were diagnosed in persons 10 or older. These findings agree with those reported by Watts et al 32 in Toronto, which showed that most corneal dermoid tumors occur during childhood. In our histopathologic analysis, the highest prevalence of malignant corneal tumors, such as carcinoma in situ (25%), corneal squamous cell (12.50%), and squamous cell papilloma (8.33%) occurred in patients 80 or older.…”

Section: Discussionsupporting

confidence: 94%

Age Distribution of Various Corneal Diseases in China by Histopathological Examination of 3112 Surgical Specimens

Li-ya

Dustin

et al. 2014

Invest. Ophthalmol. Vis. Sci.

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Section: Discussionsupporting

confidence: 94%

Age Distribution of Various Corneal Diseases in China by Histopathological Examination of 3112 Surgical Specimens

Li-ya

Dustin

et al. 2014

Invest. Ophthalmol. Vis. Sci.

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“…Watts et al23 performed a study in Toronto in patients of mean age 4.4 ± 3.8 years at the time of surgery. Dermoid excision and lamellar keratoplasty was performed in 48 eyes, simple excision was performed in two eyes, and a penetrating graft was performed in one eye.…”

Section: Surgical Managementmentioning

confidence: 99%

Management of pediatric corneal limbal dermoids

Pirouzian¹

2013

OPTH

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This paper reviews the data in the published literature (PubMed from 1937 to 2011) concerning the medical and surgical management of pediatric limbal dermoids. Current standard medical treatment for grade I pediatric limbal dermoids (ie, with superficial corneal involvment) is initially conservative. In stages II (ie, affecting the full thickness of the cornea with/without endothelial involvement) and III (ie, involvement of entire cornea and anterior chamber), a combination of excision, lamellar keratoplasty, and amniotic membrane and limbal stem cell tranplantation are advocated. Combinations of these approaches seem to yield better and more stable long-term ocular surface cosmesis and fewer complications in comparison with traditional methods of excision and lamellar keratoplasty. Management of amblyopia (i.e. occlusion treatment, chemical penalization with/without spectacle wear, etc) must continue after surgical excision to yield optimal results when or if the surgery is done at a younger age.

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“…The time of surgical excision appears to vary depending on the lesion’s original size, growth, and area of involvement, as well as the family’s request for removal due to psychosocial issues [8–13]. Numerous surgical techniques have been reported in the literature, from simple excision to lamellar and/or penetrating keratoplasty with corneal-limbal scleral donor graft transplantation, depending upon on the depth, size and site of such lesions [8–11].…”

Section: Introductionmentioning

confidence: 99%

Fibrin-glue assisted multilayered amniotic membrane transplantation in surgical management of pediatric corneal limbal dermoid: a novel approach

Pirouzian

Holz

et al. 2010

Graefes Arch Clin Exp Ophthalmol

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PurposeTo report a new surgical technique for excising pediatric corneal limbal dermoid and the post-resection ocular surface reconstruction.MethodsWe describe a method of deep lamellar excision followed by sutureless multilayered amniotic membrane transplantation in surgical management of corneal limbal dermoid.ResultThis technique achieves a rapid corneal re-epithelization, reduces post-operative pain, and will diminish post-operative scarring. Preoperative corneal astigmatism will persist.ConclusionThis method offers an alternative surgical approach in comparison to simple excision in removal of simple pediatric corneal limbal dermoids.

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Outcome of lamellar keratoplasty for limbal dermoids in children

Cited by 55 publications

References 9 publications

Age Distribution of Various Corneal Diseases in China by Histopathological Examination of 3112 Surgical Specimens

Age Distribution of Various Corneal Diseases in China by Histopathological Examination of 3112 Surgical Specimens

Management of pediatric corneal limbal dermoids

Fibrin-glue assisted multilayered amniotic membrane transplantation in surgical management of pediatric corneal limbal dermoid: a novel approach

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