Entity Eyelid tumor Associated features Locus/gene Neurofibromatosis type 1 Neurofibroma Lisch nodules 17q Café au lait spots NF 1 gene Pheochromocytoma Sturge-Weber Syndrome Diffuse hemangioma Leptomeningeal hemangioma Sporadic Gardner syndrome…

Fig. 21.1 Complex conjunctival excision. Large conjunctival lesion being excised with a 4-mm margin of unaffected conjunctiva. (a) Conjunctival flap being fashioned. (b) Partial-thickness scleral incision with a no. 57…

Fig. 13.1 Conjunctival intraepithelial neoplasia. Clinical photograph (a) and optical coherence tomography (b). Note a hyper-reflective and thickened epithelium with an abrupt transition zone from abnormal to normal epithelium, consistent…

Fig. 11.1 Preoperative lymphoscintigraphy in a patient with a lower eyelid melanoma (a). The area of injection and the draining nodes are seen. SPECT/CT scan in the same patient (b)….

Fig. 5.1 Squamous cell carcinoma of the upper lid (a) and lower eyelid (b) presenting as an irregular, elevated lesion with masses of keratin Patients with SCC tend to have…

Fig. 6.1 Sebaceous gland carcinoma arising in left upper eyelid – a firm, sessile subcutaneous round nodule fixed to the tarsus (Courtesy of Dr. Santosh Honavar) 6.5.2 Diffuse Thickening of…

Fig. 7.1 A partially pigmented cutaneous melanoma in the lateral aspect of the lower eyelid of the right eye, near the lateral canthus; the lesion changed in shape before the…

Sensory: tenderness, itching, visual changes Motor: ptosis, lagophthalmos Structural: visible or palpable lesion, change in symmetry Functional: keratopathy or tearing Secondary: pigmentation, lymphadenopathy 1.2.2 Rate of Onset Rapidity and progression…