Limbal dermoids are usually congenital in origin. Usually are unilateral very very rarely can be bilateral incidence is 1 in 10000 inferotemporal site is the commonest. They either involve the entire cornea or may be only confined to conjunctiva they are graded as grade 1 2 and 3 according to corneal involvement. Grade 1 is corneal epithelial involvement, grade 2 des membrane, grade 3 entire ant segment.
Male female ratio is 3 to 2 if cong limbal dermoids are associated with cong presence of a preauricular skin tag or appendage then it is known as goldenhas syndrome. If limbal dermoid is not involving visual axis no need of surgical intervention but if it involves visual axis then treatment is surgical which is both visual and cosmetic. Before surgery one should go ct orbits to see any underlying orbital extension the surgical modalities are Lamellar keratoplasty Stem cell graft…
