Ocular dermoids: 116 consecutive cases

Abstract

Purpose: The aim was to describe the demographic and clinical data of 116 consecutive cases of ocular dermoids.

Methods: This was a retrospective case series and a review of clinical records of all the patients diagnosed with ocular dermoids. Both demographic and clinical data were recorded. Statistical analysis was performed with SPSS v. 18. Descriptive statistics are reported.

Results: The study included 116 consecutive patients with diagnosis consistent with ocular dermoids: corneal 18% (21), dermolipomas 38% (44), and orbital 44% (51). Sixty-five percent (71) were female, and 46% (54) were detected at birth. Secondary manifestations: amblyopia was present in 14% (3), and strabismus was detected in 6.8% (8). The Goldenhar syndrome was the most frequent syndromic entity in 7.5% (12) of the patients. Surgical resection was required on 49% (25) of orbital dermoids, 24% (5) of corneal dermoids, and 13% (6) of dermolipomas.

Conclusions: Orbital dermoids were the most frequent variety, followed by conjunctival and corneal. In contrast to other reports, corneal dermoids were significantly more prevalent in women. Goldenhar syndrome was the most frequent syndromatic entity.