Lamellar Sclerokeratoplasty for Limbal Dermoids.

Ahn, Kyeon; Chung, Eui Sang

Original Article

Journal of the Korean Ophthalmological Society 2002;43(10):1869-1875.
Published online October 1, 2002.

Lamellar Sclerokeratoplasty for Limbal Dermoids.

Kyeon Ahn, Eui Sang Chung

Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University, Seoul, Korea. ahnkyen@hanmail.net

표층 각공막성형술 (Lamellar Sclerokeratoplasty) 을 이용한 각막윤부 유피종의 치료

안견 ( Kyeon Ahn ) , 정의상 ( Eui Sang Chung )

Abstract

PURPOSE
To evalute the surgical outcome of patients with limbal dermoid choristomata treated lay lamellar sclerokeratoplasty. METHODS: We performed lamellar sclerokeratoplasty on 13 patients with limbal dermoid in 14 eyes. Lamellar corneoscleral graft was used in this operation. We evaluated cosmetic effect, refractive change and graft survival/integrity after a follow up period of at least 3 months. RESULTS: All patients who underwent lamellar sclerokeratoplasty had good or excellent cometic result with good sclerocorneal alignment. There were no significant refractive changes following the surgery. Most (13 of 14) eyes had good graft integrity and survival without graft rejection. One of 14 eyes showed graft rejection sign, but it was subsided with systemic cyclosporine therapy. CONCLUSION: Lamellar sclerokeratoplasty is thought to be a good option for the primary surgery for limbal dermoid.

Key Words: Limbal dermoid;Lamellar sclerokeratoplasty;choristomata