Repair of Limbal Dermoid With Excision and Placement of a Circumlimbal Pericardial Graft

Objectives: To report the treatment of a limbal dermoid tumor with excision of the lesion combined with the placement of a processed pericardial graft. Methods: A case report of a new approach to treat large limbal dermoids after excision of the lesion from the cornea and limbus. Results: The surgical result was very reasonable from a cosmetic result, and the patient recovered quite well. Conclusions: The use of processed pericardium on the scleral side of the lesion has not been reported previously with limbal dermoid excision. Intraoperatively, the abnormal tissue blended with the sclera and excision of perilimbal tissue was necessary to obtain a clear margin. One might want to consider the method described here for the treatment of large limbal dermoid lesions when the pathology seems indistinct at the conjunctival-corneal border during surgery.