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Early results of surgical management of conjunctival dermolipoma: partial excision and free conjunctival autograft
  1. Youn Joo Choi1,
  2. In Hyuk Kim2,
  3. Jeong Hoon Choi2,
  4. Min Joung Lee3,
  5. Namju Kim4,
  6. Ho-Kyung Choung5,
  7. Sang In Khwarg2
  1. 1Department of Ophthalmology, Kangdong Sacred Heart Hospital, Hallym University Medical Center, Seoul, Korea
  2. 2Department of Ophthalmology, Seoul National University Hospital, Seoul, Korea
  3. 3Department of Ophthalmology, Hallym University Sacred Heart Hospital, Anyang, Korea
  4. 4Department of Ophthalmology, Seoul National University Bundang Hospital, Seongnam, Korea
  5. 5Department of Ophthalmology, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Korea
  1. Correspondence to Professor Sang In Khwarg, Department of Ophthalmology, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul 110-744, Korea; khwarg{at}snu.ac.kr

Abstract

Background and aims There is a paucity of data in the literature on the surgical management of conjunctival dermolipoma. In this study, we report outcomes of a partial mass excision technique (excision of the portion visible when eyes open) and free conjunctival autograft.

Methods Medical records of 13 patients with dermolipoma who had undergone partial mass excision at Seoul National University Hospital from January 1999 to May 2014 were retrospectively reviewed. After resection of the visible part of tumour, including the overlying thick surface conjunctiva, the conjunctival defects were reconstructed with free conjunctival autograft harvested from the contralateral superior bulbar area.

Results The median postoperative follow-up period was 5 months (range 1–84 months). The cosmetic surgical results were satisfactory in all 13 patients. Three patients showed thick texture on the grafted surgical area postoperatively, but there was no significant scar formation resulting in restrictive symblepharon or eye movement limitation. There were no other significant complications, such as blepharoptosis, diplopia or keratoconjunctivitissicca during the follow-up period.

Conclusions Partial mass (visible part only) excision, including that of the overlying thick conjunctiva, and free conjunctival autograft from the opposite eye, is a relatively simple and effective technique for the surgical management of conjunctival dermolipoma.

  • Treatment Surgery
  • Conjunctiva

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