Outcome of Deep Anterior Lamellar Keratoplasty in Limbal Dermoids

Dr Swati Tomar; Dr Chhavi Jindal; Dr Mahesh Aggarwal

Volume : III, Issue : VIII, August - 2014

Outcome of Deep Anterior Lamellar Keratoplasty in Limbal Dermoids

Dr Swati Tomar, Dr Chhavi Jindal, Dr Mahesh Aggarwal

Abstract :

BACKGROUND: Limbal dermoids are defined as congenital changes of mesodermal and ectodermal origin. Usually they are located at the limbus of the cornea in the inferotemporal quadrant , they can only rarely be observed in more central regions of the cornea. OBJECTIVES: To evaluate the anatomical success and post operative outcome in patients of limbal dermoid who underwent Deep Anterior Lamellar Keratoplasty. METHODS: Prospective case series of 11 consecutive patients with limbal dermoid who underwent keratoplasty. Indications for surgery were: growth size & location, unresponsive amblyopia, psychosocial & cosmetic considerations. RESULTS: Anatomical integrity was obtained in all 11 cases. In 9 cases mean BCVA changed from CF 3m(preoperatively) to 6/18 (postoperatively).In 2 case, amblyopia remained even after surgery and visual acuity was less than 6/60.1 case had graft rejection resulting in irreversible graft edema. CONCLUSION: DALK for limbal dermoid achieved good cosmetic results with limited post operative complications. Visual prognosis is good in patients undergoing surgery. Amblyopia and cosmetic reasons were the main indication for early surgical removal.