Eyelid lesions and excision results
Reviewed by Fiona Rowe

This was a retrospective study of 137 consecutive, non-chalazion, paediatric eyelid lesions excised between 2013-2020. Mean age at diagnosis and excision was 8.24 years (four months to 18 years) and 55.1% were female. Benign non-cystic epithelial lesions accounted for about 50%. Most commonly excised lesions included molluscum contagiosum, verruca vulgaris, pyogenic granuloma and nevus. There were no malignancies. Molluscum was more common in non-Hispanic white children: verruca was more common in black children. Clinical diagnosis was made in 70.1% preoperatively and confirmed by histopathology in 60.4%. General anaesthesia was required for excision in 96.4%. The authors suggest excision is not always needed given the rarity of malignant lesions and given the risks of general anaesthesia. However, excision is warranted for atypical features or suspicion for syndromic disease.

Epidemiologic differences and management of eyelid lesions in the pediatric population.
Sheng J, Joshi M, Williams KJ, et al.
JOURNAL OF PEDIATRIC OPHTHALMOLOGY AND STRABISMUS
2022;59(6):405-9.