Abstract

A 7-year girl, presented for evaluation of a mass lesion in the left eye that had been gradually increasing in size since birth. Slit-lamp evaluation revealed a well circumscribed, lightly vascularized, elevated yellowish mass with hair follicle suggestive of lipodermoid measuring 6.5 × 7.5 mm 5mm supero-temporal from the limbus. She underwent CT head & orbit to rule out intra orbital extension and underwent complete cyst excision. As the overlying conjunctiva was tightly adherent to the dermoid cyst we had to excise a large area of approximately 7mm of overlying conjunctiva. As the defect was large we placed an amniotic membrane graft which was sutured with 4 sutures. The amniotic membrane graft served the dual purpose of covering the large conjunctival defect following excision thus preventing symblepharon formation. Secondly, it significantly reduced the chances of recurrence thus being a novel technique in large orbital lipodermoid excision.