- Clinical features:
- Pale yellowish solid mass lesions, which frequently contain
hair shafts
- Most often located at the lower temporal limbus involving conjunctiva
and cornea
- Contain cellular elements from ectodermal and mesodermal origin
such as hair follicles, sebaceous and sweat glands, ectopic lacrimal
gland and cartilage
- Often associated with other congenital ocular and systemic abnormalities
such as oculoauriculovertebral dysplasia (Goldenhar syndrome), Duane's
syndrome, coloboma of the upper lid, and lacrimal stenosis.
- Management:
- Solid mass removal may be performed for cosmetic reasons or
if the mass encroaches towards the central cornea resulting in
astigmatism and visual impairment.
- Tumor excision at the level of corneal surface may be done
to remove the mass with less posterior extension.
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