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. 2013 Aug 18;6(4):463-6.
doi: 10.3980/j.issn.2222-3959.2013.04.10. eCollection 2013.

Simple keratectomy and corneal tattooing for limbal dermoids: results of a 3-year study

Dong Min Cha  1 , Kyung-Hoon Shin, Keun Ho Kim, Ji-Won Kwon
Affiliations

Simple keratectomy and corneal tattooing for limbal dermoids: results of a 3-year study

Dong Min Cha et al. Int J Ophthalmol. .

Abstract

Aim: To evaluate and report the efficacy of combined surgical excision and corneal tattooing in patients with limbal dermoids.

Methods: In a retrospective interventional case series, 9 eyes of 8 patients were treated with combined surgery of simple keratectomy and corneal tattooing for limbal dermoids. Medical records, including best-corrected visual acuity, anterior segment photography, demographic, clinical data, and follow-up information were reviewed.

Results: The mean follow up period in this study was 50±15(range 36-77) months. There was no evidence of infection or recurrent limbal dermoids in any of the eyes during the follow-up period. All patients achieved good cosmetic outcomes with no complications.

Conclusion: Simple keratectomy and corneal tattooing of limbal dermoids could be an alternative option for surgery, especially when a donor cornea is not available.

Keywords: corneal tattooing; limbal dermoid; simple keratectomy.

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Figures

Figure 1
Figure 1. The surgical procedure. Tattooing is being performed after removing the corneal part of the dermoid. With the bevel up, the punctures were inserted into the anterior stroma using a 1mL disposable syringe with a 30-gauge needle, creating a relatively long puncture canal.
Figure 2
Figure 2. Corneal tattooing was performed in the corneal part
A: Corneal part of the dermoid A was excised; B: Conjunctival part of the dermoid B was shaved.
Figure 3
Figure 3. Anterior segment examination of patient 2
A: A 3.5mm (H)×4.0mm (V), slightly elevated, round, opaque lesion attached to the 6 o'clock limbus and which does not reach the visual axis is observed in the right eye; B: At postoperative 55 months, vision is unchanged and the cornea remains well stained and demarcated.
Figure 4
Figure 4. Anterior segment examination of patient 3
A: An epithelialized and vascularized peripheral corneal lesion from 10 to 4 o'clock is seen in the left eye, which extends into the visual axis; B: The well-demarcated and pigmented cornea is observed at postoperative 42 months.
See this image and copyright information in PMC

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