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Intraoperative complications, post-operative care and refractive condition in one case of limbal dermoid

Poster Details

First Author: P.Lee TAIWAN

Co Author(s):                  

Abstract Details



Purpose:

To report the intra-operative complications, post-operative care and refractive condition in one case of limbal dermoid

Setting:

A case report

Methods:

A case report

Results:

A 17 y/o female was a case of bilateral limbal dermoids which were noted since birth. In addition to amblyopia, progressive size of dermoids caused cosmetic problems, lagophthalmos and corneal superficial punctuate lesions. Lamellar keratoplasty with partial-thickness corneal graft was performed. Scleral perforation and mismatch of thickness between corneal graft and recipient were encountered in surgery. The interface neovascularization developed weeks after operation, and which could be well controlled with Avastin (25mg/cc) via subconjunctival injection and topical eyedrop. Despite persistent high astigmatism noted in topography, the best corrected vision seemed improved.

Conclusions:

Scleral perforation can be a complication of lamellar keratoplasty for dermoids. Partial-thickness corneal graft may be enough for the recipient site. Topical Avastin is a treatment choice for the interface neovascularization. Best corrected visual acuity can improve even without refraction improvement after surgery.

Financial Disclosure:

NONE

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