DR. SHREYA TYAGI

Dr.Kavita Kumar, Dr. ADITI DUBEY, Dr. Neha Singh jat

Abstract

AIM : REPORTING A RARE CASE OF HIGHLY RECURRENT TRICHILEMMAL CYST ON THE EYELID.

CASE REPORT : A 49 yr old male with VA (OU) 6/9 glasses 6/6 presented with complaints of gradually progressive,painless swelling of about .5*.5cm over the OS upper lid in middle 1/3rd since 1 yr.O/E, OS LID had swelling as above,OU LENS=NS GRD1,REST =WNL.He had history of excision of similar swelling twice in the past diagnosed as chalazion.

Excision was done and histopathological sample sent,which reported findings consistent with trichilemmal cyst with no malignant changes.The patient remained symptom free for 1 month however the swelling recurred.

CONCLUSION:Occurence of trichilemmal cyst on the eyelid in a male is an uncommon finding and can be confused as chalazion.It can have multiple recurrences at the lid (4 times in this patient).Despite recurrences Excision or Incision & Drainage remain best known modality of treatment.We hereby conclude newer options can be explored to prevent the recurrence.