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Case Reports
. 2012 May-Jun;60(3):211-3.
doi: 10.4103/0301-4738.95874.

Giant epidermal cyst of the tarsal plate

Mohana Majumdar  1 , Rekha Khandelwal, Anne Wilkinson
Affiliations
Case Reports

Giant epidermal cyst of the tarsal plate

Mohana Majumdar et al. Indian J Ophthalmol. 2012 May-Jun.

Abstract

A 35-year-old male patient presented with a right upper eyelid mass with mechanical ptosis. The patient gave no history of trauma or surgery. On examination, there was a huge cystic mass fixed to the tarsal plate. Excisional biopsy with tarsectomy was done. Histopathology sections demonstrated a keratin-filled cyst arising from the tarsus. A thorough Pubmed search did not reveal an epidermal cyst of the tarsal plate of this size which was successfully managed. The incision was made in such a way that postoperative ptosis would be avoided. Excess skin was removed during the surgery.

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Figures

Figure 1
Figure 1
Preoperative photograph showing a huge mass (2 cm diameter) of the upper eyelid, causing mechanical ptosis
Figure 2
Figure 2
Photograph showing the under surface of the mass which appears round, well defined and without any signs of inflammation; rest of the ocular structures could not be examined
Figure 3
Figure 3
Intraoperative photograph showing a cystic mass free from the skin and subcutaneous tissue
Figure 4
Figure 4
Cyst removed in toto
Figure 5
Figure 5
10th postoperative day showing normal levator function
Figure 6
Figure 6
Histopathology demonstrated a cyst lined by squamous epithelium and containing keratin (H and E, ×400)
Figure 7
Figure 7
Photomicrograph showing epidermal cyst wall with keratin in the lumen (H and E, ×100)
See this image and copyright information in PMC

References

    1. The Eye M.D. Association, American Academy of Ophthalmology, Section 7: Orbit, Eyelids, and Lacrimal System, 2007-08.
    1. Vagefi MR, Lin CC, McCann JD, Anderson RL. Epidermoid cyst of the upper eyelid tarsal plate. Ophthal Plast Reconstr Surg. 2008;24:323–4. - PubMed
    1. Lucarelli MJ, Ahn HB, Kulkarni AD, Kahana A. Intratarsal Epidermal Inclusion Cyst. Ophthal Plast Reconstr Surg. 2008;24:357–9. - PubMed
    1. Jakobiec FA, Mehta M, Iwamoto M, Hatton MP, Thakker M, Fay A. Intratarsal keratinous cysts of the Meibomian gland: distinctive clinicopathologic and immunohistochemical features in 6 cases. Am J Ophthalmol. 2010;149:82–94. - PubMed
    1. Kulwin DR, Kirsten RC. Blepharoplasty and brow elevation. In: Dortzbach RK, editor. Ophthalmic Plastic surgery: Prevention and management of complications. New York: Raven press; 1994. pp. 91–111.

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