How are epibulbar dermoids removed?
Posterior epibulbar dermoids are usually not attached to the eyeball itself. They are attached to the conjunctiva that covers the eye. They often extend posteriorly into the eye socket and usually cannot be entirely removed. Excision involves stripping the dermoid free of the overlying conjuctiva, clamping the mass at the most posterior extent of the dissection and removing the anterior part of the mass. The excised mass is typically sent to a pathologist who can confirm the identity of the tissue.
