Abstract Most reports on dermolipomas describe the serious complications arising from their removal. The aim of this article was to describe a safe and effective method of removing dermolipomas. Forty-five consecutive eligible patients underwent surgical removal of their dermolipomas over a 20-year period. Of the two complications, only one, a restrictive symblepharon, required further surgery. The techniques for excising simple dermolipomas and dermolipomas associated with a deformity of the lateral canthal angle are described. Safe removal of dermolipomas may be accomplished with minimal resection of the conjunctiva, including the pilosebaceous area, identification of contiguous structures, and removal of only that portion of the dermolipoma anterior to the lateral orbital rim. References 1. Hered RW, Hiles DA. Epibulbar osseous choristoma and ectopic lacrimal gland underlying a dermolipoma . J Pediatr Ophthalmol Strabismus . 1987;24:255-258. 2. Daicker BC, Perren B. Epibulbar osteoma combined with dermolipoma . Ophthalmologica . 1977;174:58-60.Crossref 3. McNab AA, Wright JE, Caswell AG. Clinical features and surgical management of dermolipomas . Aust N Z J Ophthalmol . 1990;18:159-162.Crossref 4. Beard C. Dermolipoma surgery, or, 'an ounce of prevention is worth a pound of cure.' Ophthal Plast Reconstr Surg . 1990;6:153-157.Crossref 5. Sullivan GL. Caveat chirurgicus . Trans Am Ophthalmol Soc . 1972;70:328-336. 6. Paris GL, Beard C. Blepharoptosis following dermolipoma surgery . Ann Ophthalmol . 1973;5:697-699. 7. Liu D, Bachynski BN. Complete ptosis as a result of removal of epibulbar lipodermoid . Ophthal Plast Reconstr Surg . 1992;8:134-136.Crossref 8. Baum JL, Feingold M. Ocular aspects of Goldenhar's syndrome . Am J Ophthalmol . 1973;75:250-257. 9. Feingold M, Baum J. Goldenhar's syndrome . AJDC . 1978;132:136-138. 10. Jordan DR, Tse DT. Herniated orbital fat . Can J Ophthalmol . 1987;22:173-177. 11. Elsas FJ, Green WR. Epibulbar tumors in childhood . Am J Ophthalmol . 1975;79:1-7.
Archives of Ophthalmology – American Medical Association
Published: Aug 1, 1994