Treatment and Management of LimbalDermoid


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LimbalDermoid is one of the most common tumours of corneal limbus. These non-cancerous growths usually occur on or around the cornea. These benign tumours contain choristomatous tissue. Sometimes, these dermoidsbecome so large that they hamper the vision or cause changes in the shape of the cornea that causes astigmatism. Astigmatism leads to blurred images that are ignored by the brain, resulting in lazy eye. If you develop limbaldermoid, then you will have to undergo a surgical procedure to remove it.

If you are opting for LimbalDermoid Excision surgery in Bangalorethen you have ample options to choose from. There are many renowned hospitals in Bangalore where you can get this surgery done from.

The surgical intervention is only suggested when the complications outweigh the chances of improving the vision and appearance of the patient. You may book doctor appointment and discuss your concern in detail, and also talk about probable complications of your case if any. Limbaldermoid excision surgery is a tricky surgery and should be performed by an expert in the field only.

The treatment for limbaldermoid may include the following:

  • The removal of irritating cilia
  • Topical lubrication to ease the discomfort caused by the foreign body
  • Removal of the lesion

These lesions can be superficial and as small as 5mm or lesser than that, but in some cases, these lesions become large enough to cover the entire cornea and structure of anterior chamber. These lesions can occur in various sizes and are categorized based on its size as grade I, grade II and grade III lesions. The surgical removal is not performed to correct the cosmetic appearance of the patient but it is mainly performed to prevent any loss to the vision. You may opt for superficial sclerokeratectomy, which includes using the surface of the globe for cutting flush. Your surgeon may advise you against complete removal of the lesion. As these lesions may sometimes are deeply rooted in the structure of the eye and if attempts for complete removal are made, it may increase the risk of perforation.

After the surgery, your surgeon will sew the exposed sclera. In case of bigger or deeper lesions, lamellar keratoplasty may be performed. Lamellar keratoplasty helps in reinforcing the site of excision. In a case where large patches of sclera need to be treated, your surgeon may use single or multiple amniotic membrane grafting tissue. The membrane is secured with fibrin-glue adhesive or using sutures, to the underlying sclera. Some complications associated with the limbaldermoid excision surgery include the following:

  • peripheral vascularization of the cornea
  • intraoperative perforation
  • postoperative epithelial defects
  • Lamellar keratoplasty may lead to increased corneal astigmatism

Once you decide on the option for Limbal Dermoid Excision treatment in Bangalore

you may discuss the above-mentioned treatment options and complications that may arise from the surgical procedure, in detail with your surgeon. Your surgeon may ask you for your medical and family history records to determine if further consultation is required or not. Limbaldermoid excision surgery has many advantages also. This surgical procedure not only improves the vision but it also decreases the irritation and discomfort in the eye. Follow up visits are recommended after the surgical procedure to avoid any complications and to aid a speedy recovery.

Written by admin