Refer to ophthalmology if symptomatic or amblyogenic
Advice
Reassure the patient and the parents. It is a normal tissue growing in the abnormal location
Management Category
Routine referral to ophthalmology if diagnosis is in doubt
Possible management by Ophthalmologist
Small dermoids can undergo simple excision
Larger lesions may require lamellar keratosclerectomy
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Introduction and disclaimer
The eyes.nhs.scot website (“Website”) is intended as a reference source for education and clinical
decision support and is intended for use by ophthalmic healthcare professionals.
The Website is not intended for use by the general public and does not replace the advice of a healthcare professional.
Members of the public should seek advice directly from their optometrist.
The guidelines on the Website were originally adapted from The College of Optometrists’ Clinical Management Guidelines
(CMGs), to incorporate pragmatic experience gained from NHS Grampian’s Eye Health Network. However, this content is currently under review.
The most up-to-date versions of The College of Optometrists’ CMGs can be accessed
at https://www.college-optometrists.org/clinical-guidance/clinical-management-guidelines.
The information on the Website provides guidance and related information for the differential diagnosis, possible
management by optometrists (treatment and advice), management category and possible management by ophthalmologists.
Users should note that that the guidance on the Website will not be suitable for every situation and is not intended to be a
substitute for specialist expertise and clinical judgement. Users should also note that this guidance should not be adhered to
in isolation and should be considered in conjunction with other national and locally available guidance/pathways.
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the Website is provided ‘as is’ and NSS does not warrant the accuracy and completeness of the material on the Website. NSS may
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