Eyelid tumours are common in clinical practice but are less common in exams as they usually proceed to surgery quickly after diagnosis. Eyelid tumour cases are commonly presented as data stations in clinical examinations.
The general principles of managing an eyelid tumour are to:
This is relevant for determining:
These tests will determine whether orbital or further imaging modalities will be required.
See Section 5.1.6 Corneal Exposure Risk. The presence of two or more of these factors suggests at least moderate risk
Liver function test for malignant melanoma
Treatment plans need to consider the patient as a whole. Consider the following factors which influence choice of treatment (“TAFE”).
T umour Features
Older patients or those with short life expectancy may be suitable for less invasive procedures with a higher recurrence risk to maximise their quality of life
F itness of patient for surgery
Tolerance of major lid reconstruction
(Other) E ye
Complex reconstructions may require occlusion of vision in the affected eye for prolonged periods which is unsuitable for patients with poor contralateral vision.
All rights reserved. No part of this publication which includes all images and diagrams may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the authors, except in the case of brief quotations embodied in critical reviews and certain other noncommercial uses permitted by copyright law.
Vitreoretinal Surgery Online
This open-source textbook provides step-by-step instructions for the full spectrum of vitreoretinal surgical procedures. An international collaboration from over 90 authors worldwide, this text is rich in high quality videos and illustrations.