The transconjunctival levator aponeurosis advancement without resection of Müller's muscle enables repair of aponeurotic ptosis without the need for surgical exposure through a skin incision. This technique may be preferred by many patients who are reluctant to undergo ptosis surgery because of the possible skin scar and who do not present with excessive upper eyelid laxity. A successful outcom...

Syringocystadenoma papilliferum, a distinct dermatologic entity, is an exceedingly rare benign skin neoplasm and seems to have arisen from apocrine or eccrine adnexal structures. The diagnosis is clinically suspected and histologically confirmed due to its non presentations. Since it usually appears at birth or during puberty and adolescence, Childhood tumor. Complete surgical excision is the t...

Sarcoidosis is a granulomatous, multisystemic disorder of unknown origin usually affecting young Black-American adults. Bilateral hilar lymphadenopathy and skin or eyelid lesions are the most common symptoms noted. Except for lacrimal gland enlargement, orbital involvement with sarcoidosis is rare and is usually unilateral when it occurs. The aim of this article is to report an isolated case of...

Basal cell carcinoma (BCC) is one of the most common skin cancers, which causes disfi gurement and destruction by invasion in surrounding tissue. However, it rarely metastasizes to distant tissue and cause death. It is a locally invasive tumor. The present case is of a BCC in a 62-year-old female presenting with non-healing ulcer above right eyelid. The patient had no history of arsenic intake,...

Merkel cell carcinoma (MCC) is a skin cancer arising from neurosecretory cells which take part in APUD system. In most cases it is locally growing tumor with significant tendency to local recurrences after surgery. The authors have described four cases MCC localised on the skin of the middle angle of the eye, lower eyelid, auricle and cheek, without nodal metastases. All patients have been surg...

The trichilemmal carcinoma is a rare low-grade malignant lesion originating from hair follicle cells that usually occurs on sun-exposed skin of older individuals. A differential diagnostic is required with other skin carcinomas. We report two cases of trichilemmal carcinoma admitted at the Emergency University Hospital of Bucharest, Romania, in 2012, one of these cases being localized in the pe...

Merkel cell carcinoma (MCC) is a rare and aggressive tumor arising from Merkel cells located in the basal layer of the epidermis and in the hair follicle. MCC presents primarily in Caucasians (98.3%) with a median age of 69 years. Ultraviolet radiation exposure and immunosuppression appear to play a role in the development of this cancer [1]. MCCs display an aggressive clinical course with a hi...

Purpose. To describe the use of the temporoparietal fascial flap (TPF) in the reconstruction of extensive lower eyelid defects in a functioning eye. Methods. We present a surgical case report of a 73-year-old female with melanoma of the left lower eyelid. The lower eyelid was resected, and a composite nasal cartilage-mucosa graft, a skin graft, and a TPF were used to reconstruct the lower eyeli...

We used a free tarsal-conjunctival grate from the upper eyelid and a nasal-based pedicle skin-muscle flap for reconstruction of the medial aspect of the lower eyelid. This had the advantage of confining the reconstruction to the local area and eliminated the need for a temporal flap or an eyelid sharing procedure that necessitates occluding the fissure for several weeks.

A patient with chronic progressive external ophthalmoplegia contracted cutaneous leishmaniasis of the upper eyelid. Infection of this site is rare because eyelid movements usually prevent the sandfly vector from biting the skin there. It is postulated that the relative immobility of the upper eyelid in this patient was a major predisposing factor for the infection.