title: New surgical approach for limbal dermoids in children: simple excision, corneal tattooing, and sutureless limboconjunctival autograft.
abstract: OBJECTIVE
  To evaluate the efficacy of combined surgery of simple excision, corneal tattooing, and a sutureless limboconjunctival autograft in pediatric patients with grade 1 limbal dermoids.
  
  
  METHODS
  We treated 4 eyes of 4 patients with combined surgery of corneal tattooing and a sutureless limboconjunctival autograft with simple excision of limbal dermoids. Preoperative and postoperative visual acuity, postoperative recovery time, cosmetic improvements, patient compliance, and complication rates were reviewed.
  
  
  RESULTS
  The mean follow-up period in this study was 27.3 ± 2.8 (range, 24-30) months. Visual acuity was stable during the follow-up period. Resolution of patient discomfort and wound epithelialization was achieved in 1 week. Cosmetic outcomes improved in view of corneal opacity and conjunctival vascularization. All patients were satisfied with the cosmetic results with no complications.
  
  
  CONCLUSIONS
  Corneal tattooing and a sutureless limboconjunctival autograft after simple excision of limbal dermoids can lead to a satisfactory cosmetic outcome, better compliance, and early postoperative recovery without complications for grade 1 limbal dermoids in pediatric patients.
authors.affiliation: *Department of Ophthalmology, Jeju National University College of Medicine, Jeju, Korea; and †Department of Ophthalmology, Seonam University College of Medicine, Myongji Hospital, Goyang, Korea.
authors.forename: Jinho
authors.initials: J
authors.lastname: Jeong
authors.forename: Young-Jin
authors.initials: YJ
authors.lastname: Song
authors.forename: Seung-Il
authors.initials: SI
authors.lastname: Jung
authors.forename: Ji-Won
authors.initials: JW
authors.lastname: Kwon
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003228:Conjunctiva / Q000601:surgery*; D003316:Corneal Diseases / Q000473:pathology / Q000601:surgery*; D003884:Dermoid Cyst / Q000473:pathology / Q000601:surgery*; D005134:Eye Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D016850:Limbus Corneae / Q000473:pathology / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures; D012189:Retrospective Studies; D013536:Suture Techniques; D013653:Tattooing; D014182:Transplantation, Autologous