Epicutaneous application of the anaesthetic cream Emla (lignocaine and prilocaine), to induce percutaneous anaesthesia in 38 patients scheduled for eyelid skin surgery is presented. The cream was applied 60 to 90 minutes before operation. In 36 out of the 38 patients (94.8%) no supplementary analgesia was required. The pain during the procedure was rated either as no pain in 29 patients (76.3%)...

OBJECTIVE It is well known that gradual loss of elastic fibers and skin relaxation cause the aging process, but whether changes in the orbicularis oculi muscle may contribute to the aging of the upper eyelid is not known. The aim of the present study was to use histopathologic examination to investigate whether the orbicularis oculi contributes to upper eyelid aging. METHODS Full-thickness up...

Sebaceous gland carcinoma of the eyelid is a rare slow-growing tumor and is one of the most aggressive malignancies of the eyelid. Diagnosis is often delayed because it can be confused with other periocular lesions. We report the case of a 78-year-old female who presented for the anesthetic aspect of a nodular tumor on the right upper eyelid occurring one year earlier. The patient was treated f...

This article discusses adjunctive skin care of the brow and periorbital region. Anatomic properties of eyelid skin require skin care products specifically suited to this area. Common patient concerns, including wrinkles, infraorbital dark circles, puffiness, and thinning eyebrows and eyelashes, are addressed in the context of contributing anatomic and physiologic factors and the classes of and/...

PURPOSE Non melanoma skin cancers (NMSC) of eyelid are uncommon. Many treatments approach are available with surgery being considered as the gold standard. Radiotherapy is an effective alternative in patients unfit for surgery. Brachytherapy (BT) might be a better therapeutic option due high radiation dose concentration to the tumor and rapid dose fall-off resulting in normal tissues sparing. T...

DEAR EDITOR, The ichthyosiform dermatoses are hereditary conditions in which genetic mutations alter the normal development and function of keratinocytes, causing a defect in skin desquamation. Secondary ectropion and cicatricial eyelid retraction are commonly seen, often causing significant functional and cosmetic sequelae. Due to the generalized nature of the skin involved, management options...

1 Zimmerman LE. Phakomatous choristoma of the eyelid. A tumor of lenticular anlage. Am J Ophthalmol 1971;1(Part 2):169–77. 2 Shin HM, Song HG, Choi MY. Phakomatous choristoma of the eyelid. Korean J Ophthalmol 1999;13:133–7. 3 Sinclair-Smith CC, Emms M, Morris HB. Phakomatous choristoma of the lower eyelid. A light and ultrastructural study. Arch Pathol Lab Med 1989;113:1175–7. 4 Ellis FJ, Eagl...

Basal cell carcinoma is a type of skin cancer and rare, aggressive forms of basal cell carcinoma can invade and destroy nearby muscles, nerves and bone. Very rarely, basal cell carcinoma can spread to other areas of the body. We report the case of a 70-yearold woman who present 3 years ago a small nodule in the right upper eyelid neglected until a very important increase in its volume what moti...