Paediatric Eyelid Lesions- A Report of 20 Cases
Keywords:
cysts, nevi, papilloma, histopathological examination, benign
Abstract
Background: Eyelid lesions are one of the commonest lesions encountered by ophthalmologists in their clinical practice. They could be classified in various ways such as neoplastic or non-neoplastic; congenital or acquired. The common benign conditions affecting the eyelid include cysts like dermoid, epidermoid and epithelial cysts, inflammatory lesions, melanocytic nevi and papilloma. Ignorance about the benign nature of the lesion may lead to increased debility. The purpose of this study is to contribute information to the literature on various eyelid lesions and their incidence as found in a tertiary hospital. Methods: This is a retrospective observational study of surgically excised eyelid lesions in patients below 12 years of age. The study was conducted after obtaining permission from the Institutional Ethics Committee. Result: Out of 20 lesions, 15 cases belonged to the non-neoplastic category while five cases were neoplastic in nature. Cystic lesions predominated in the non-neoplastic category (11 out of 15 cases). The remaining four cases in the non-neoplastic category included three cases of infective etiology and one case of developmental etiology. There were no malignant neoplasms found in our study. The common presenting feature was that of eyelid swelling. Highest incidence of eyelid lesions was in the upper lid (14 of 20 cases, i.e. 66.66%). Conclusion: It is necessary to subject every lesion of the eyelid to histopathological examination. Sometimes, clinically benign lesions turn out to be malignancies which entails a wider surgery later. This study points out to the wide spectrum of lesions that can afflict the eyelid.References
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2. Bagheri A, Tavakoli M, Kanaani A, et al. Eyelid Masses: A 10-year Survey from a Tertiary Eye Hospital in Tehran. Middle East Afr J Ophthalmol2013; 20: 187–192.
3. Pornpanich K, Chindasub P. Eyelid tumors in Siriraj Hospital from 2000–2004. J Med Assoc Thai 2005; 88:S11–S14.
4. Farhat F, Jamal Q, Saeed M, Ghaffar Z. Evaluation of Eyelid Lesions at a Tertiary Care Hospital, Jinnah Postgraduate Medical Centre (JPMC), Karachi. Pak J Ophthalmol 2010; 26: 83-6.
5. Shields JA, Shields CL. Eyelid, Conjunctival, and Orbital Tumors: An Atlas and Textbook. 2nd ed. Philadelphia: Lippincott Williams & Wilkins &Wolters Kluwer; 2008. p 805.
6. Hsu HC, Lin HF. Eyelid tumors in children: a clinicopathologic study of a 10-year review in southern Taiwan. Ophthalmologica 2004;218:274-7.
7. Frieden I J, Haggstrom AN, Drolet BA et al. Infantile hemangiomas: current knowledge, future directions. Proceedings of a research workshop on infantile hemangiomas, April 7-9, 2005, Bethesda, Maryland, USA. Pediatr Dermatol 2005;22:383–406.
8. Gore C, MD,Robbins SL. Capillary Hemangioma [Internet]. San Diego: Eyewiki; 2014 Dec [updated on2014 Dec 3; cited on 2016 Dec 4]. Available from: http://eyewiki.aao.org/Capillary_Hemangioma
9. Drolet BA, Esterly NB, Frieden IJ. Hemangiomas in children. N Engl J Med. 1999;341:173–181.
10. Kumar MA, Srikanth K, Vathsalya R. Chondroid syringoma: A rare lid tumor. Ind J Ophthalmol 2013;61:43-4.
Published
2020-10-29
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