Benign lesions of the eyelid represent upwards of 80 percent of eyelid neoplasms, while malignant tumors account for the remaining, with basal ...TogglenavigationClinicaladviceyoucantrustHOMECMETOPICSCataractContactLensesCorneaDryEyeFinancesGeneticsGlaucomaImagingandDiagnosticInstrumentsIntraocularLensesLegislationMedicareNewTechnologyNeuro-ophthalmologyNewsAndEventsOcularDiseaseOculoplasticsOphthalmicProductDevelopmentPediatricsPracticeManagementPublicHealthRefractiveSurgeryResearchRetinaStemCellsSurgicalEducationTherapeutics/ExternalDiseaseEVENTSNEWSLETTERReviewOfOphthalmologyOnlineRetinaOnlineJOBSEyelidlesionsaremoreoftenthannotbenign.Accuratediagnosisbyanophthalmologistisbasedonhistoryandclinicalexamination.Whenindoubt,anysuspiciouslesionshouldundergobiopsy.Hereweofferabriefreviewofsomeofthemorecommoneyelidlesionsthatanophthalmologistmayencounterinageneralpractice.Background,ExamTodiagnoseeyelidlesionsonemustfirstunderstandtheanatomyoftheeyelidandespeciallytheeyelidmarginanditscharacteristics.Theeyelidmarginconsistsoftheskin,muscle,fat,tarsus,conjunctivaandadnexalstructuresincludingtheapproximately100eyelashes,glandsofZeis,glandsofMoll,meibomianglandsandtheassociatedvascularandlymphaticsupply.Theexaminationofaneyelidlesionbeginswithhistory.Historyshouldincludechronicity,symptoms(tenderness,changeinvision,discharge),andevolutionofthelesion.Otherpertinentpointsincludeahistoryofskincancer,immunosuppression,fairskinorradiationtherapy.Physicalexaminationshouldincludeassessmentoflocation,theappearanceofthesurfaceofthelesionandsurroundingskinincludingadnexalstructures.Theclinicianshouldbeassessingforanyulcerationwithcrustingorbleeding,irregularpigment,lossofnormaleyelidarchitecture,pearlyedgeswithcentralulceration,finetelangiectasiaorlossofcutaneouswrinkles.Finally,aphysicalexaminationofthepatientshouldincludepalpationoftheedgesand/orfixationtodeepertissues,andassessmentofregionallymphnodesandthefunctionofcranialnervesII-VII.Apicturecanbepricelessforfollowingdiseasepro