PURPOSE
To survey the membership of the American Association for Pediatric Ophthalmology and Strabismus on their preferences in the management of dermoid cysts.
METHODS
The 689 active members of the American Association for Pediatric Ophthalmology and Strabismus were surveyed by mail on their preferences in the management of dermoid cysts. The survey addressed use of imaging, timing of surgery, surgical approach, use of corticosteroids, and satisfaction with results.
RESULTS
Of the 689 members surveyed, 62.4% responded. Of these, 75.8% performed orbital dermoid excisions in their pediatric ophthalmology practices. Imaging was always obtained by 9.5%, never obtained by 9.5%, and obtained for specific reasons by 81.0%. Computed tomography scan was the preferred imaging modality of 66.2% of respondents. Surgery was deferred until older than 6 months by 68.9%, and 71.9% cited anesthetic risk as the reason for waiting. Surgical approaches used were sub-brow incision only (53.9%), eyelid crease incision only (15.8%), or either (22.6%). Ninety-six percent of respondents never used adjunct corticosteroids, and 99.2% of respondents were satisfied with their surgical results.
CONCLUSIONS
The majority of American Association for Pediatric Ophthalmology and Strabismus members defer orbital dermoid surgery until 6 months of age due to anesthesia risk, use the sub-brow incision, and obtain imaging only for specific reasons. Most respondents never use systemic corticosteroids at the time of surgery, and are satisfied with their results.
J Pediatr Ophthalmol Strabismus 2006;43:337-340
AUTHORS
Dr. Kimberly Yen is from the Departments of Ophthalmology and Pediatrics, Texas Children’s Hospital, Houston, Texas. Dr. Michael Yen is from the Department of Ophthalmology, Cullen Eye Institute, Baylor College of Medicine, Houston, Texas.
Originally submitted July 9, 2005.
Accepted for publication July 28, 2005.
Address reprint requests to Kimberly G. Yen, MD, 6621 Fannin, MC-CCC 640.00, Houston, TX 77030.
Supported in part by an unrestricted grant from Research to Prevent Blindness.
Presented in part at the Association for Research in Vision and Ophthalmology meeting; May 2005; Fort Lauderdale, FL.
The authors have no industry relationships to disclose.
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