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Speaker
Dr. Gowhar Ahmad
University of Jammu and Kashmir, India
Biography

Dr. Gowhar Ahmad is a Director in the Department of Ophthalmology, Florence Hospital, Multispecialty Centre, Kashmir, India. He pursued his MBBS from University of J&K and Master of Surgery in Ophthalmology, SN Medical College, University of Agra. He obtains a fellowship in Paediatric Ophthalmology from Morefield’s Eye Hospital, London and fellowship in Oculoplasty and Neurophthalmology from King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia. He had more than 40 years of experience in the field of Ophthalmology and served as guest National and International speaker. He has posted more than 7oo Ophthalmic articles on Linked-in, and more than 800 on Docpleuxs. He is the key opinion leader on the Curofy having published more than 1600 posts. He has published many ophthalmic International Papers and served as Editorial Member for International Journal of Science and Research. He attended the World Congress on Pediatrics and Clinical Pediatrics at Dubai, UAE on November 28th and 29th 2018 as a guest speaker. He is the Editorial Board Member for Clinical Pediatrics 2019 Congress, to be held in June 2019, in Scotland. He is also a member of the Kashmir Ophthalmic Society. He served as Ex Senior Consultant Ophthalmologist and Hod of QATEEF Central Hospital Eastern Province, KSA. He is also the Ex Sr Con Ophthalmologist of Govt Medical College, Srinagar, Kashmir, India. His special interest are Pediatric Ophthalmology, Oculoplasty, Neurophthalmology, Medical Ophthalmology. He is also interested in community ophthalmology and has conducted many eye camps in rural areas.

Abstract

The Limbal Dermoid in Goldenhar Syndrome are usually unilateral. Although they rarely can be bilateral. They either involve the entire cornea or may be confined to conjunctiva only the commonest site 70 percent of infero temporal incidence is 1 in 10, 000 or 1 in 500 to 2, 700 They are graded according to corneal involvement. a. Grade1 is corneal epithelial involvement b. Grade2 is des membrane involvement c. Grade3 is entire anterior segment involvement Case Report: 9 months back a 3 years male child was seen by me in my office with parents having noticed a very small polish white infero temporal limbal opacity in left eye. Since birth with associated congenital presence of a pre-auricular appendage on right side. There were no other congenital anomalies. First child delivered after l second is no history of exposure to oxygen, jaundice, breast fed normal mile stones with normal intelligence. MRI (Magnetic Resonance Imaging) orbits did not show underlying orbital involvement, normal hearing, a teeth, ear, normal spine, limbs, kidney and vision. Anterior Segment Refraction functioning was normal. So, the child had grade l dermoid which begin at the commonest site of infero temporal site. Discussion: Goldenhar Syndrome has a very good prognosis. Most of the children live normally with normal vision. Only 5 to 15 percent may have other congenital anomalies. Conclusion: One should reassure the parent about this disorder which in majority of children is not visual threatening. However, if the limbal dermoid involves visual axis and their tens vision then we have following surgical modalities as visual and cosmotic. The surgical procedures are Lamellar Keratoplasty, Amniotic membrane graft and Stem cell graft. 1. There are many Goldenhars Syndrome support groups. 2. Families of Goldenhars Syndrome are seen. 17 such families of Goldenhar Syndrome are seen in Greece. 3. Mittal Et al Indian Journal of Ophthalmology, 1968 reported 3 case of optic nerve drusen’s associated with goldenhars Syndrome. 4. Infants born in Middle East in Gulf War in different military hospital were reported to have Goldenhars Syndrome. 5. In cases of Goldenhar Syndrome with associated hare lip, cleft palate, pre-auricular appendage or skin tag, plastic surgical intervention is needed

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