case_images: PMC11765613_01
case_images: Preoperative slit lamp photograph of inferotemporal limbal dermoid (A). Sirius topography image of anterior tangential curvature revealing a significant irregularity of the ocular surface (B). Aberrometric assessments showing Point Spread Function (PSF) with Strehl Ratio (C) and whole corneal aberrations (D,F). Heidelberg Spectralis anterior segment optical coherence tomography (AS - OCT cornea module) scan showing the hyperreflective lesion without a clear evidence of its depth (E).
case_images: jcm-14-00607-g001.jpg
case_images: PMC11765613_01_jcm-14-00607-g001.jpg
case_images: jcm-14-00607-f001
case_images: An 18-year-old female was referred to our cornea clinic due to visual impairment and ocular discomfort caused by a Grade I dome-shaped congenital dermoid in the inferotemporal cornea of her right eye (Figure 1). Florence, Italy) and an epithelial map (MS-39, CSO, Florence, Italy) (Figure 1). Spectral domain anterior segment optical coherence tomography (AS-OCT, HRA II, Heidelberg Engineering GmbH, Dossenheim, Germany; MS-39, CSO, Florence, Italy) was employed for high-resolution imaging to detect the depth of the lesion, which was unclear, and for follow-up evaluations. Following an in-depth discussion of therapeutic options, the surgical approach involving excision, administration of Mitomycin C 0.02% and application of a multilayered amniotic membrane fixed by three 10-0' nylon sutures and fibrin glue, was deemed the most appropriate course of action. Follow-ups were conducted on day 1, at 1 week, 3 weeks, 2 months, 6 months, 1 year, and 2 years.