Eyelids

Eyelids:

  • The aging eyelid

    Sometimes, because of age-related looseness affecting a different part of the eyelid, the lower eyelid turns inward, causing the eyelashes to rub against the eyeball called (a) entropion, or the lower eyelid turn outward called (b) ectropion. With age, some involutional changes of the lid will lead to droopy eyelid or ptosis.

    Entropion
    Involutional ptosis Involutional ptosis

    c. Involutional ptosis

  • Paediatric eyelid disorder - congenital and acquired

    Oculoplastic surgeons also deal with the paediatric age group for a wide variety of eyelid disorders. They may be congenital or acquired in nature. One of the most common congenital eyelid disorders is blepharoptosis (droopy eyelid) and epiblepharon. Less commonly, congenital defect such as eyelid coloboma is also managed surgically by the oculoplastic surgeon.

    Entropion

    Ptosis: Pre-op

    Entropion

    Ptosis: Post-op

    Epiblepharon

    (A) Epiblepharon           (B) Normal eye

    coloboma

    Eyelid coloboma

  • Benign and Malignant Eyelid Tumours

    Any lumps or bumps around the eyelid should ideally be referred to the oculoplastic surgeons for confirmation. Diagnosis may be ascertained clinically, however the definitive pathology of the mass can only be confirmed through surgical biopsies performed by them. Eyelid tumours can either be benign such as papilloma (viral wart), naevus (mole), sebaceous cyst and xanthelasma, or malignant such as eyelid basal cell carcinoma, squamous cell carcinoma, sebaceous gland carcinoma or malignant melanoma. It is crucial to distinguish between these two big groups as the management is different. Timely intervention may save sight, reduce morbidity or even mortality.

    • Benign
      Benign

      Benign eyelid tumour

      Benign

      Benign eyelid tumour

      Benign

      Benign eyelid tumour

      coloboma

      Xanthelasma

    • Malignant
      Malignant eyelid tumour

      Malignant eyelid tumour

      Malignant eyelid carcinoma

      Malignant eyelid carcinoma

  • Eyelid trauma

    Eyelid trauma is very common, resulting from motor-vehicle accidents, industrial or domestic trauma. In most cases, simple facial and eyelid lacerations can be managed acutely at the emergency room level. However if it is a complex laceration, involving delicate structures around the eyelid such as the canaliculus (part of the lacrimal drainage system), it should be handled by an oculoplastic surgeon. Cold cases as a result of old eyelid trauma may also be referred to them for repair or reconstruction to improve function and cosmesis.

    Eyelid trauma