PMC3350258_01
Figures 1(a) and 1(b) Showing a nodular mass measuring 10 x 10 x 8 mm in the lower eyelid with smooth surface. On eversion of the eyelid there was an area of scarring in the tarsal conjunctiva.
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fig1
On clinical examination there was a firm, nodular mass measuring 10 x 10 x 8 mm (Figure 1(a)). On eversion of the eyelid there was an area of scarring in the tarsal conjunctiva and the overlying skin was normal (Figure 1(b)).
Gross photograph of full thickness pentagonal excision of eyelid shows well circumscribed cyst filled with solid, homogenous material with spotty greyish white chalky areas.
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fig2
Cyst was filled with yellowish homogenous solid material with focal gritty white areas (Figure 2).
Whole mount photograph of lesion shown in Figure 1. Eyelid cyst filled with homogenous keratin.
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fig3
Cholesterol clefts were seen at places in the amorphous material (Figures 3 and 4).
Histopathology of lesion shown in Figure 1. The epithelial lining below shows peripheral palisading of the peripheral cells. Inner cells are swollen. Cyst cavity is filled with homogenous keratin with calcification. (Hematoxylin-eosin x400).
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fig4
Cholesterol clefts were seen at places in the amorphous material (Figures 3 and 4).