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Amniotic membrane transplantation for surgical management of pediatric corneal limbal dermoid

Poster Details

First Author: M.Diaab SEYCHELLES

Co Author(s):    S. Eissa   A. Reada           

Abstract Details

Purpose:

To evaluate and report a new surgical technique in removal of pediatric corneal limbal dermoid and post-resection ocular surface reconstruction in children

Setting:

Magrabi hospital Damam KSA

Methods:

Three pediatric patients with corneal-limbal dermoid (grade I) in one practice were identified in a retrospective case series. All patients underwent deep lamellar excision followed by sutureless (Tisseel, Baxter Inc, Deerfield, IL) multilayered amniotic membrane (AmnioGraft, Miami, FL) transplantation by a single surgeon. Pre and postoperative visual acuity, anterior segment examination, anterior segment B-scan and cycloplegic refraction were performed in all patients whenever feasible

Results:

Three patients ranging in age from 6-months to 18 years had a post-operative follow-up time of 7-12 months from the time of dermoid excisional surgery. The technique achieved rapid corneal re-epithelization, reduced post-operative pain and diminished post-operative scar. Existing pre-operative astigmatism remained unchanged in all three patients. No intra or post operative complications were noted. No pseudopterygium or conjunctival symblepharon were noted at the end of the follow-up period.

Conclusions:

Discussion: This novel surgical approach offers an alternative surgical technique in comparison to simple excision with/without lamellar keratoplasty in removal of simple pediatric corneal limbal dermoids. Conclusion: In the management of pediatric limbal dermoid (grade I), surgical excision in combination with sutureless multi-layered amniotic membrane transplantation eliminates painful post-operative recovery, corneal neovascularization and may achieve improved long-term ocular surfcae cosmesis.

Financial Disclosure:

NONE

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