Ophthalmology case

Authors

  • Fábio Barroso Department of Neonatology and Neonatal Intensive Care, Centro Materno Infantil do Norte, Centro Hospitalar do Porto http://orcid.org/0000-0002-2708-0165
  • Ana Lachado Department of Neonatology and Neonatal Intensive Care, Centro Materno Infantil do Norte, Centro Hospitalar do Porto
  • Luísa Carreira Department of Neonatology and Neonatal Intensive Care, Centro Materno Infantil do Norte, Centro Hospitalar do Porto
  • Gilberta Santos Department of Neonatology and Neonatal Intensive Care, Centro Materno Infantil do Norte, Centro Hospitalar do Porto
  • José Pombeiro Department of Neonatology and Neonatal Intensive Care, Centro Materno Infantil do Norte, Centro Hospitalar do Porto
  • Vasco Miranda Department of Ophthalmology, Hospital de Santo António, Centro Hospitalar do Porto.

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v26.i2.10477

Keywords:

limbal dermoid, dermoid cyst, ocular surface, amblyopia

Abstract

Introduction: Limbal dermoids are benign congenital tumours that contain choristomatous elements. These lesions are present at birth but may not be easily identified until later in life.

Case report: We report a case of a one-day-old newborn, female, with no relevant gestational or neonatal history, referred to our pediatric ophthalmologic unit because of a whitish round mass in the inferotemporal limbus of the left eye. Clinical examination confirmed the diagnosis of limbal dermoid cyst, and she was referred to ophthalmologic consultation for clinical follow-up.

Discussion: The diagnosis of limbal dermoids is established by the presence of a yellow/white solid tumour located at the limbus. These lesions have been classified into three grades. The treatment for grade I pediatric limbal dermoids is initially conservative. In stages II and III, a combination of simple excision, lamellar keratoplasty, sutureless amniotic membrane and limbal stem cell tranplantation may be necessary. Prognosis is generally favourable.

Author Biographies

Fábio Barroso, Department of Neonatology and Neonatal Intensive Care, Centro Materno Infantil do Norte, Centro Hospitalar do Porto

Serviço de Neonatologia e Cuidados Intensivos Neonatais, Centro Materno-Infantil do Norte, Centro Hospitalar do Porto

 

Ana Lachado, Department of Neonatology and Neonatal Intensive Care, Centro Materno Infantil do Norte, Centro Hospitalar do Porto

Serviço de Neonatologia e Cuidados Intensivos Neonatais, Centro Materno-Infantil do Norte, Centro Hospitalar do Porto

Luísa Carreira, Department of Neonatology and Neonatal Intensive Care, Centro Materno Infantil do Norte, Centro Hospitalar do Porto

Serviço de Neonatologia e Cuidados Intensivos Neonatais, Centro Materno-Infantil do Norte, Centro Hospitalar do Porto

Gilberta Santos, Department of Neonatology and Neonatal Intensive Care, Centro Materno Infantil do Norte, Centro Hospitalar do Porto

Serviço de Neonatologia e Cuidados Intensivos Neonatais, Centro Materno-Infantil do Norte, Centro Hospitalar do Porto

José Pombeiro, Department of Neonatology and Neonatal Intensive Care, Centro Materno Infantil do Norte, Centro Hospitalar do Porto

Serviço de Neonatologia e Cuidados Intensivos Neonatais, Centro Materno-Infantil do Norte, Centro Hospitalar do Porto

Vasco Miranda, Department of Ophthalmology, Hospital de Santo António, Centro Hospitalar do Porto.

Serviço de Oftalmologia, Centro Hospitalar do Porto

References

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Shields JA, Shields CL. Orbital cysts of childhood: classification,

clinical features, and management. Surv Ophthalmol

; 49:281–99.

Jeong J, Song YJ, Jung SI, Kwon JW. New Surgical Approach

for Limbal Dermoids in Children: Simple Excision,

Corneal Tattooing, and Sutureless Limboconjunctival Autograft.

Cornea. 2015; 34:720-3.

Amescua G, Atallah M, Nikpoor N, et al. Modified simple

limbal epithelial transplantation using cryopreserved amniotic

membrane for unilateral limbal stem cell deficiency. Am J

Ophthalmol. 2014;158: 469-75.

Watts P, Michaeli-Cohen A, Abdolell M, et al. Outcome

of lamellar keratoplasty for limbal dermoids in children. J

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Published

2017-07-24

How to Cite

Barroso, F., Lachado, A., Carreira, L., Santos, G., Pombeiro, J., & Miranda, V. (2017). Ophthalmology case. NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL, 26(2), 145–147. https://doi.org/10.25753/BirthGrowthMJ.v26.i2.10477

Issue

Section

Imaging Cases

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