Limbal or corneal dermoid

4-year-old boy presented with a growth on his left eye that had been there since birth and led to mild visual disturbance, sensation of a foreign body, and cosmetic disfigurement. There was no family history of similar lesions. Examination revealed a solid, brownish-yellow, ovoid mass with partly keratinized epithelium involving the inferotemporal limbus and one third of the cornea. No associated regional or systemic abnormalities were found. Visual acuity was 6/6 in the right eye and 6/18 (20/60) in the left eye. The findings on slit-lamp examination, funduscopy, and ocular ultrasonography were within normal limits, and intraocular pressure was normal

What’s this condition ?



Dx: Limbal or corneal dermoid

Limbal or corneal dermoids are unusual congenital tumors consisting of ectodermal and mesodermal elements in various proportions. They frequently warrant treatment to correct cosmetic or visual problems. Excision with superficial keratectomy was offered to this patient, but he declined treatment and has not returned for follow-up.