Patient - 1
This patient had undergone incision and curettage procedure twice for a right upper eyelid swelling, diagnosed as a chalazion. The swelling nevertheless kept increasing in size and she presented to us at OASES like the picture on the left.
She underwent an excision biopsy of the eyelid cystic lesion. The lesion was confirmed to be a cyst on histopathology and she did well post operatively, as seen on the second picture which was taken 1 week post-surgery. She has had no recurrence in 3 years follow up.
Contact UsPatient - 2
The pigmented growth below the eyelid was excised completely using radio-frequency. The wound was closed with utmost cosmesis, as noted in photo on right taken 1 week after surgery.
Contact UsPatient - 3
This gentleman has had this growth near his left brow since 35 years!! He finally decided to get it excised and Dr. Ayyar removed the biggest dermoid cyst of her career herein!
Contact UsPatient - 4
In 2017, this young woman presented a dilemma. She was operated for this particular swelling 4 times in the past using a puncture method. Each time the swelling recurred in a matter of 2 weeks to 1 month.
Clinically we diagnosed her to have a Cyst of Moll, which is basically a cyst arising in the sweat glands near the eyelid margin. Treatment was not straight cut due to the following reasons:
With the above in mind, here is what was done.
Patient - 5
A 30 year pregnant woman was referred for a fast growing mass in her eyelid. It was diagnosed as an AVM (Arterio-venous malformation). In the pregnant body, the hormones allow rapid growth of such lesions and hence we could not delay the surgery. She was operated upon in her sixth month of pregnancy under local anaesthesia as a day care procedure.
Complete Excision biopsy was performed, histopathological examination confirmed the diagnosis and she did well. The photos below are taken 1.5 years after the surgery.
Contact UsPatient - 6
Eyelids are the birthplace of a variety of lumps and bumps, thanks to the presence of numerous types of glands situated intricately.
Diagnosing the source of the lesion/bump is crucial in management and to know ways to prevent it in future.
Restoring the eyelid health to optimal conditions is the next important step after tackling the existing lump.
For any eyelid lumps and bumps, visit an Oculoplasty/Ophthalmic Plastic Surgeon always!
WHY? Since Oculoplasty surgeons are Ophthalmologists with advanced training in diseases of the eyelid and their management and recognising a benign lesion from a cancerous one may prove life-saving in many cases.
Here is a patient with a dark growth with ulceration on her lower eyelid. The growth was excised with a no-touch technique and the defect was reconstructed with attention to best possible cosmesis.
Luckily for her, it turned out to be a pre-cancerous lesion which was removed before it could have turned dangerous.
Contact UsPatient - 11
A 30 year of pregnant woman was referred for a fast growing mass in her eyelid. It was diagnosed as an AVM (Arterio-venous malformation). In the pregnant body, the hormones allow rapid growth of such lesions and hence we could not delay the surgery. She was operated upon in her sixth month of pregnancy under local anaesthesia as a day care procedure.
Complete Excision biopsy was performed, histopathological examination confirmed the diagnosis and she did well. The photos below are taken 1.5 years after the surgery.
Contact UsPatient - 12
This 32 year old woman was troubled by repeated painful eyelid swellings since 1 year and was referred to OASES Care Center for further management.
This 32 year old woman was troubled by repeated painful eyelid swellings since 1 year and was referred to OASES Care Center for further management.
She was a high myope accounting for the prominent eyes since a young age. She did have acne rosacea for which treatment was begun.
Looking at the large number of swellings responding poorly to conservative treatment, we proceeded with excision biopsy of the masses in both eyelids under local anesthesia and injected local steroids.
The excised tissues were sent for histopathological examination and was reported to be non specific granulomatous inflammation.
Post surgery, patient did very well. The scar plane created surgically, aided in prevention of pockets of such inflammation in future. She was put on low dose oral steroids, which were tapered over few weeks.
Since 2 years after surgery, she has had occasional localised active swelling on the eyelid, which was managed conservatively and otherwise has been asymptomatic and doing extremely well. he was a high myope accounting for the prominent eyes since a young age. She did have acne rosacea for which treatment was begun.
Looking at the large number of swellings responding poorly to conservative treatment, we proceeded with excision biopsy of the masses in both eyelids under local anesthesia and injected local steroids.
The excised tissues were sent for histopathological examination and was reported to be non specific granulomatous inflammation.
Post surgery, patient did very well. The scar plane created surgically, aided in prevention of pockets of such inflammation in future. She was put on low dose oral steroids, which were tapered over few weeks.
Since 2 years after surgery, she has had occasional localised active swelling on the eyelid, which was managed conservatively and otherwise has been asymptomatic and doing extremely well.
Contact UsPatient - 15
This patient had developed this particular swelling in her lower eyelid over 6 months.
On clinical examination, it appeared benign and non-infective.
Excision biopsy of the mass was done under local anesthesia.
Histopathology report revealed Histiocytosis. Patient was examined further, but noted to not have any systemic features of the same.
On a two year follow up, she showed no signs of recurrence.
Contact UsPatient - 16
This 17 year old girl came with this mass in her eye which kept slowly growing in size over 2 months. The mass was excised under local anesthesia, taking great precaution to not damage the puncta.
Histopathology report revealed Molluscum contagiosum.
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