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Complex limbal choristoma in linear nevus sebaceous syndrome managed with scleral grafting


 Department of Ophthalmology, Nagari Eye Hospital and Research Foundation, N.H.L. Medical College, Ahmedabad, Gujarat, India

Correspondence Address:
Nitin Trivedi,
Avataran Eye Hospital and Oculoplasty clinic, 49-A, Lad Society, Sandesh Press Road, Bodakdev, Ahmedabad- 54, Gujarat
India
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Source of Support: None, Conflict of Interest: None

Linear nevus sebaceous syndrome (LNSS) is characterized by nevus sebaceous, mental retardation, seizures, and ocular abnormalities such as complex limbal choistoma. A young male with history of mass in right eye and blackish discoloration of skin over right and left side of forehead since birth presented with foreign body sensation and diminished vision in right eye. Ocular examination showed mass over epibulbar region with chorioretinal coloboma and posterior staphyloma in right eye and megalocornea in left eye. Histopathology report revealed complex limbal choristoma with compound melanocytic nevus. The case was managed by surgical excision of the limbal mass and filling the gap with scleral graft.


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