Authors : Dhruvi Tusharkumar Shah, Chintan Ganeshbhai Chaudhary, Kavita Bhaven Shah, Atul A Modesara
DOI : 10.18231/j.ijooo.2025.006
Volume : 11
Issue : 1
Year : 2025
Page No : 30-32
Epidermoid cysts are slow-growing, benign lesions most commonly found on the face, neck, and upper trunk. They occasionally affect eyelids, where theycan pose unique cosmetic and functional issues due to the delicate and conspicuous nature of the eyelid region. Wepresent a case of 45-year-old male whohas had a right upper eyelid epidermoid cyst for ten years, seeking treatment for cosmetic reasons. Because of the cyst's size and position, the weight of thelesion induced minimal mechanical ptosis, resulting in slight upper eyelid drooping and mild visual impairment. Diagnostic imaging confirmed the cyst, andsurgical excision was performed under 2% lidocaine with adrenaline with a smooth recovery. At the 6-month follow-up, there was no recurrence, and themechanical ptosis had resolved, with no new symptoms such as diplopia observed. This case emphasises the importance of early diagnosis, thorough excision,and proper follow-up to prevent complications, recurrence, and the development of related symptoms.