Ann L. Chou; Kimberly G. Yen, MD


May 10, 2013

Clinical Presentation: Girl With an Eyelid Lesion

A 3-year-old girl presents to the eye clinic with a lesion on her left upper eyelid, which her mother reports has been present for 3 months. The mother states that the child did scratch the lesion, and part of it came off, but then the lesion grew back even larger than it was initially. The child also has a few other lesions on her cheek that have recently appeared.

The child is otherwise healthy and has not had visual problems. She is developmentally normal and there were no problems during pregnancy or childbirth.

On examination, the child was able to fix and follow with each eye equally. An external examination showed a lesion on the left upper eyelid which appeared pearly and mushroom-like, with a crater in the center (Figure 1).

Figure 1. Left upper eyelid lesion.

There were also several pearly nodules on her left cheek (figure 2).

Figure 2. Nodules on left cheek.

The anterior segment examination was otherwise normal. Her pupils were normal bilaterally and she was orthophoric on examination with full motility. The rest of her ocular examination, including anterior segment and fundus, was normal. She did not have a significant refractive error.