Safe management of dermolipomas
C. L. Fry and C. R. Leone Jr
Department of Ophthalmology, University of Texas Health Science Center at San Antonio.
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.
