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All Journal Journal of Agromedicine and Medical Sciences Paediatrica Indonesiana Jurnal Profesi Medika: Jurnal Kedokteran dan Kesehatan Media Karya Kesehatan eJournal Kedokteran Indonesia IJRETINA - International Journal of Retina Ophthalmologica Indonesiana
Julie Dewi Barliana
Department Of Ophthalmology, Faculty Of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Pseudopterygium After Limbal Dermoid Cyst Excision in a Child with Goldenhar Syndrome: Poster Presentation - Case Report - Ophthalmologist CAESARITA, DEA PRITA; Barliana, Julie Dewi
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/0e622333

Abstract

Introduction : Goldenhar syndrome is a rare congenital disorder also known as oculoauricularvertebral dysplasia. Limbal dermoid associated with this syndrome. This case report aims to present an reccurent pseudopterygium after three times limbal dermoid cyst excision in patient with Goldenhar syndrome. Case Illustration : Patient 13 years old male with pseudopterygium in right eye. Visual acuity both eyes 6/6 snellen chart. Fibrovascular tissue from tarsal conjunctival inferotemporal to 2 mm limbal cornea in right eye. Patient had limbal dermoid cyst in right eye since birth and underwent limbal dermoid cyst excision for three times. First time surgery used amniotic membrane transplantation, then second and third surgery used conjunctival limbal graft. Goldenhar syndrome have been diagnosed since the age of 2 years old. External examination noticed asymmetrical hemifacial microsmia, grade III microtia right ear, conduction deafness, and laryngomalacia. Discussion : Limbal dermoid cyst is one of characteristic of Goldenhar syndrome. In this case pseudopterygium grade II in right eye developed after limbal dermoid cyst excision for three times. Limbal dermoid simple excision may lead to corneal vascularization persistent epithelial defect, scar, and pseudopterygium. Various surgical include superficial keratectomy, amniotic membrane transplantation and lamellar or penetrating keratoplasty. Pseudopterygium still occurs in this case, even though recurrence has been prevented by administration of amniotic membrane transplantation and conjunctival limbal graft. Conclusion : We should be concerned about management of limbal dermoid cyst with Goldenhar syndrome to prevent recurrent pseudopterygium.
Co-Authors Abritho Zaifar Afid Brilliana Putra Alia Nesa Utami Andi Arus Victor Angky Budianti Anthea Casey Aprina, Dwie Ari Djatikusumo Awliya Awliya Burhana Mawarasti Caesarita, Dea Prita Casey, Anthea Christella Caroline Dewi Alya Winarto Diajeng Ayesha Soeharto Elyas Aditya Pradana Estu Yulia, Dian Faraby Martha Fitri Muslim Ghina Fedora Gladys Kusumowidagdo Gusti Candra Pamungkas HANIFAH RAHMANI NURSANTI Hartono Gunardi Hindun Zakiyah Hisar Daniel Irawati, Yunia IZZA ZUKHRUFIA Kharisma Zatalini Giyani Laura Agnestasia Laura Agnestasia Djunaedi Laura Agnestasia Djunaedi Laura Agnestasia Djunaedi Levina Chandra Khoe Lia Amanda Made Susiyanti Michael Hartono Muhammad Ilham Dhiya Rakasiwi Muhammad Imran Khan Ismail Natassha Priscillia Wibowo Nida Ghitha Aulia Nugrahaputra, Rino Permaisuari, Nizma Permanik, Gustiandari Fidhya Pratiwi, Karina Satyani Putri, Meuthia Rana Ratna Sitompul Rio Rhendy Saleha Sungkar Sitorus, Rita Rita Sitorus, Rita Sita Soeharto, Diajeng Ayesha Syntia Nusanti Syska Widyawati Tan, Sabrina Tri Rahayu Triana Hardianti Gunardi Yeni Dwi Lestari Yudantha, Anggun Rama Yulinda Arty Laksmita Zahra, Raihanny Andrea