Lid Margin Tumors

Abstract

Introduction: A stable lid margin with a correct configuration is an important element ensuring the normal structure and function of the eyelids. Any change in its contour or position can lead to incomplete closure of the eyelids and problems with the anterior ocular surface. Tumor formations of the eyelids are the most common neoplasms in ophthalmological practice, and often they are located on or partially involve the lid margin.
Aim: The aim of the study is to present various tumors of the lid margin, their surgical treatment, and the postoperative results.
Materials and Methods: The clinical appearance of the tumor formations was evaluated in order to estimate the volume of the primary excision. The removed neoplasms were placed in 10% formalin solution and histological examination was performed. The post-excision defects healed spontaneously or were repaired by direct closure or flap formation.
Results: Benign lid margin tumors were more common than malignant ones. Of the benign, the most common were squamous papilloma and seborrheic keratosis, of the malignant—basal cell carcinoma. Postoperatively, the lid margin was in a normal position, and a very good aesthetic result has been achieved.
Conclusion: Lesions of the lid margin often go untreated for a long time due to patients' fear of the postoperative outcome. Although benign lesions are more common than malignant lesions, their timely surgical removal with subsequent histological examination is the gold standard of behavior in such cases.