H. R. Padmini1 , Basavaraj Zalaki2
Limbal dermoids are benign congenital tumors that contain choristomatous tissue. They appear most frequently at the inferior temporal quadrant of the corneal limbus. Standard medical treatment for grade I pediatric limbaldermoids (ie, with superficial corneal involvment) is initially conservative. In stages II (ie, affecting the full thickness of the cornea with/without endothelial involvement) and III (ie, involvement of entire cornea and anterior chamber), a combination of excision and lamellar keratoplasty, amniotic membrane, limbal stem cell transplantation, buccal mucosa grafting are advocated. This case report describes a new surgical technique for removal of pediatric corneal-limbaldermoid and ocular surface reconstruction using buccal mucosal graft in achieving good anatomical integrity.
