Home            Past Issues            About IP            About IAP           Author Information            Subscription            Advertisement              Search  

   
Images

Indian Pediatr 2014;51: 333

Ocular Dermoid


Sonia P Vaidya and *Pankaj C Vaidya

Departments of Ophthalmology and *Pediatrics, PGIMER, Chandigarh, India.
Email: [email protected]


A 12-year-old boy presented with a greyish mesh over sclerae of both eyes since birth and dimness of vision for last one year that had worsened for a month. Ocular examination revealed bilateral epibulbar limbal dermoids (Fig. 1) with astigmatism and amblyopia. There was no microphthalmos, coloboma or strabismus.

Fig. 1 Bilateral ocular (epibulbar) dermoids.

Ocular dermoids – common primary developmental orbital tumours – are smooth, soft and yellowish subconjunctival masses, most commonly at the inferotemporal limbus. Occasionally the lesions may be very large and virtually encircle the limbus (complex dermoid). Sometimes these may be associated with accessory auricles and syndromes (Goldenhar syndrome, Treacher collins syndrome, etc.). Differential diagnosis include dermolipoma or fibrofatty tumour.

Surgery may be required for cosmetic reasons, chronic irritation, dellen formation, amblyopia or involvement of the visual axis.  

 

Copyright 1999-2014 Indian Pediatrics