2020–2021 BCSC Basic and Clinical Science Course™
6 Pediatric Ophthalmology and Strabismus
Part II: Pediatric Ophthalmology
Chapter 17: Eyelid Disorders
Neoplasms and Other Noninflammatory Eyelid Lesions
Malignant tumors arising from eyelid skin or palpebral conjunctiva are extremely rare in children. Pediatric cases are likely to be associated with underlying systemic disorders that predispose to malignancy, such as basal cell nevus syndrome or xeroderma pigmentosum. Rhabdomyosarcoma infrequently presents as an eyelid or conjunctival mass (see Chapter 18). Eyelid and epibulbar lesions can develop in juvenile xanthogranuloma (see Chapter 21).
Pilomatricomas (sometimes spelled pilomatrixomas or called Malherbe calcifying epitheliomas) are benign tumors that arise from hair matrix. They may present as solid, noninflamed lesions, often with a whitish appearance (Fig 17-11). Surgical excision is curative.
Excerpted from BCSC 2020-2021 series: Section 10 - Glaucoma. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.