Attempts at complete removal are unnecessary. The lesion may extend into the deeper structures of the eye and the risk of perforation increases if attempts are made to remove the lesion completely. The exposed sclera should be covered by relaxing the adjacent conjunctiva and sewing it into the scleral defect. If a deep excision is necessary, then a lamellar keratoplasty can be performed to reinforce the site of excision. In some cases, referral to a pediatrician with specialization in genetics is appropriate.
Prognosis is generally favorable.
Likewise, a patient presenting with a limbal dermoid already may have developed amblyopia. A plan for treating the amblyopia and an explanation for the possible reduction in vision should be given to the family and documented in the medical record. Ocular aspects of Goldenhar's syndrome. Medicine is a constantly changing science and not all therapies are clearly established. New research changes drug and treatment therapies daily.