Choriostomas represent the most common epibulbar lesions in the pediatric age group. Generally, they are on the surface and do not involve the deeper layer of cornea or sclera. Epibulbar dermoids frequently cause amblyopia and cosmetic problems due to high astigmatism and the presence of the tumor. Surgery is the only option for epibulbar dermoids. Lamellar or penetrating keratoplasty has been advocated depending on the site and the depth of the epibulbar dermoids. However, the outcome is not always promising due to accompanying amblyopia and high incidence of vascularization of the grafts. In the present article we report a case of epibulbar choriostomas in the right eye of a 5-year-old, non-syndromic girl who underwent right limbal dermoid excision with lamellar keratoplasty.Postoperatively she was improved cosmetically, however the astigmatism and the vision remained the same. Therefore the amblyopic therapy should be emphasized postoperatively.

AIM:To evaluate the epidemiological and etiological factors of microbial keratitis seen in tertiary hospitals in West and East Malaysia.METHODS:A total of 207 patients were enrolled.Patients referred for microbial keratitis to Sungai Buloh Hospital and Kuala Lumpur Hospital in West Malaysia and Queen Elizabeth Hospital and Kuching General Hospital in East Malaysia were recruited.Risk factors were documented.Corneal scrapings for microscopy and culture were performed.RESULTS:The most common risk factor in West Malaysia was organic trauma (28.5％) followed by non organic trauma (18.3％);27.7％ of trauma cases was work related with 34.2％ involving male foreign workers.The most common risk factor in East Malaysia was contact lens wear (32.9％).Pseudomonas aeruginosa was the most common organism isolated in both places.The most common fungal pathogen in West Malaysia was Fusarium spp representing 60％ of all positive fungal cultures.CONCLUSION:In West Malaysia organic trauma was the most common risk factor seen in public hospitals here whereas,contact lens wear was the most common risk factor in East Malaysia (P＜ 0.05).Fungal keratitis was more commonly seen in West Malaysia.