Epibulbar dermoid is a round dome-shaped grayish yellow or whitish congenital tumor. It is generally located on the limbus of the cornea, extending into the corneal stroma to a varying depth. Epibulbar dermoids can occur as isolated lesions or as a symptom ofoculoauriculovertebral dysplasia (Golden-har's syndrome). Additional symptoms of that disorder include outer ear deformities and preauricular appendages (Figs. 4.19a and b). Dermoids can contain hair and minor skin appendages. Ophthalmologists are often asked to remove them for cosmetic reasons. Surgical excision should remain strictly superficial; complete excision may risk perforating the globe as dermoids often extend through the entire wall of the eyeball.
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