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Management of pediatric corneal limbal dermoids
This paper reviews the data in the published literature (PubMed from 1937 to 2011) concerning the medical and surgical management of pediatric limbal dermoids. Current standard medical treatment for grade I pediatric limbal dermoids (ie, with superficial corneal involvment) is initially conservative...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Dove Medical Press
2013
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3616691/ https://www.ncbi.nlm.nih.gov/pubmed/23576860 http://dx.doi.org/10.2147/OPTH.S38663 |
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author | Pirouzian, Amir |
author_facet | Pirouzian, Amir |
author_sort | Pirouzian, Amir |
collection | PubMed |
description | This paper reviews the data in the published literature (PubMed from 1937 to 2011) concerning the medical and surgical management of pediatric limbal dermoids. Current standard medical treatment for grade I pediatric limbal dermoids (ie, with superficial corneal involvment) is initially conservative. In stages II (ie, affecting the full thickness of the cornea with/without endothelial involvement) and III (ie, involvement of entire cornea and anterior chamber), a combination of excision, lamellar keratoplasty, and amniotic membrane and limbal stem cell tranplantation are advocated. Combinations of these approaches seem to yield better and more stable long-term ocular surface cosmesis and fewer complications in comparison with traditional methods of excision and lamellar keratoplasty. Management of amblyopia (i.e. occlusion treatment, chemical penalization with/without spectacle wear, etc) must continue after surgical excision to yield optimal results when or if the surgery is done at a younger age. |
format | Online Article Text |
id | pubmed-3616691 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-36166912013-04-10 Management of pediatric corneal limbal dermoids Pirouzian, Amir Clin Ophthalmol Review This paper reviews the data in the published literature (PubMed from 1937 to 2011) concerning the medical and surgical management of pediatric limbal dermoids. Current standard medical treatment for grade I pediatric limbal dermoids (ie, with superficial corneal involvment) is initially conservative. In stages II (ie, affecting the full thickness of the cornea with/without endothelial involvement) and III (ie, involvement of entire cornea and anterior chamber), a combination of excision, lamellar keratoplasty, and amniotic membrane and limbal stem cell tranplantation are advocated. Combinations of these approaches seem to yield better and more stable long-term ocular surface cosmesis and fewer complications in comparison with traditional methods of excision and lamellar keratoplasty. Management of amblyopia (i.e. occlusion treatment, chemical penalization with/without spectacle wear, etc) must continue after surgical excision to yield optimal results when or if the surgery is done at a younger age. Dove Medical Press 2013 2013-03-28 /pmc/articles/PMC3616691/ /pubmed/23576860 http://dx.doi.org/10.2147/OPTH.S38663 Text en © 2013 Pirouzian, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited. |
spellingShingle | Review Pirouzian, Amir Management of pediatric corneal limbal dermoids |
title | Management of pediatric corneal limbal dermoids |
title_full | Management of pediatric corneal limbal dermoids |
title_fullStr | Management of pediatric corneal limbal dermoids |
title_full_unstemmed | Management of pediatric corneal limbal dermoids |
title_short | Management of pediatric corneal limbal dermoids |
title_sort | management of pediatric corneal limbal dermoids |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3616691/ https://www.ncbi.nlm.nih.gov/pubmed/23576860 http://dx.doi.org/10.2147/OPTH.S38663 |
work_keys_str_mv | AT pirouzianamir managementofpediatriccorneallimbaldermoids |