Frequency of Eyelid Lesions presenting in Ophthalmology Department of a Tertiary Care Hospital

Abstract

Purpose: To find out frequency of eyelid lesions at a tertiary care hospital. Study Design: Descriptive observational Place and Duration of Study: Jinnah Postgraduate Medical Centre Karachi, from March 2013 to December 2018. Methods: Records of patients operated for eyelid lesions were reviewed. Tumors arising from eyelids, may or may not be extending to other tissues were included in study. Data included age, gender, type of lesion, site of lesion, Histo-pathologic diagnosis, management and follow up. Result: A total of 150 patients with lid lesions were managed which included 50% benign and 50% malignant lesions. There were 77 (51.3%) males and 73 (48.7%) females. Age range was 3 to 85 years. The most commonly diagnosed lid lesion was squamous cell carcinoma (n=45, 30%), 60% among malignant lesions. It was followed by epidermal inclusion cyst (n=25, 16.7%), 33.33% of benign lesions. Patients with benign lesion were younger than 30 years while patients with malignant lesions were more than 50 years of age. Majority of the affected population was aged males, farmers and laborers, with history of prolong sunlight exposure. Among 150 lesions, 126 (84%) underwent excision biopsy and 24 (16%) underwent exenteration. Excision Biopsy was performed in all 75 (100%) benign lesions and 51 (68%) malignant lesions. Exenteration was performed in 24 (32%) malignant lesions. Conclusion: Owing to a large percentage of malignant eyelid lesions, population at risk should be educated about eyelid tumors, its early diagnosis, treatment and follow up.