Dermoid cysts in and around the eye are benign congenital choristomas, relative common in the pediatric population. Epibulbar and limbal dermoids are the ocular hallmarks of Goldenhar syndrome. Epibulbar dermoids (also termed lipodermoids) usually occur in the inferotemporal quadrant, covered by conjunctiva and often hidden by the lateral upper and lower eyelids. Limbal dermoids are reported more frequently than lipodermoids and can be bilateral (in approximately 25% of cases). They occasionally impinge on the visual axis but more commonly interfere with visual acuity by causing astigmatism; they can also cause anisometropic amblyopia.

American Academy of Ophthalmology

https://www.aao.org/bcscsnippetdetail.aspx?id=983f6f38-1184-4502-bb3b-6…