Outcome Of Deep Anterior Lamellar Keratoplasty In Limbal Dermoid In Pediatric Patients

To evaluate anatomical and visual success in patients with Limbal Dermoid undergoing Deep Lamellar Anterior Keratoplasty ( DALK) in pediatric population 

Retrospective chart review of 11 patients ( 11 eyes)  with limbal dermoid with age range from 5 to 15 years  who underwent DALK with increasing growth ,unresponsive amblyopia therapy, psychosocial and cosmetic considerations 

Complete history and examination was done for 11 pateints. Complete dermoid excision with Deep Anterior Lamellar Keratoplasty was done . The excised tissue was sent for Histopathological examination for confirmation. Patients BCVA was recorded at the end of 2 years follow up. 

Anatomical integrity was obtained in all 11 cases.In 9 cases Best Corrected Visual Acuity improved by 1 to 4 lines with refractive correction and  amblyopia therapy at the end of 2 years  . 1 patient had severe amblyopia due to irregular astigmatism did not improve after 2 years of vision therapy. 1 patient  had graft rejection at 6 months leading to graft failure.

Deep Anterior Lamellar Keratoplasty performed  for limbal dermoid achieved good cosmetic results with limited post operative complications.Visual prognosis is good in patients undergoing surgery.Amblyopia was the indication for early surgical removal vision therapy