A boy in his teens presented with a gradually increasing mass in the right eye since childhood. Examination revealed an elevated yellowish white lesion extending from 7 to 9 o’clock along the limbus with overlying fine vessels. Two hair follicles protruded from it.
The clinical features were typical of limbal dermoid. The mass was excised with lamellar keratectomy, and histopathology further confirmed the diagnosis. Limbal dermoids are choristomas and are benign in nature. They may contain abberant tissues such as hair, teeth, bone, or muscle. Surgical excision is sometimes indicated for cosmetic purposes.
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