Giant eccrine hidrocystoma of the eyelid

Manpreet Singh¹ , Manpreet Kaur² , Natasha Gautam³

¹ Department of Ophthalmic Plastic and Reconstructive Surgery, Advanced Eye Care Centre, Sohana Charitable Eye Hospital, Mohali, Punjab, India
² Department of Ophthalmology, Sankara Eye Hospital, Ludhiana, Punjab, India
³ Department of Ophthalmology, Advanced Eye Centre, PGIMER, Chandigarh, India

Correspondence Address:
Manpreet Singh
Department of Ophthalmic Plastic and Reconstructive Surgery, Advanced Eye Care Centre, Sohana Charitable Eye Hospital, Mohali, Punjab
India

A 68-year-old woman had a painless and slow-growing mass on the left lower eyelid for 10 months. On inspection, there was a large, 18 mm × 12 mm, oval, cystic mass arising from the medial lower eyelid. The overlying stretched skin showed prominent vessels [Figure 1a]. On palpation, the cyst was non-tender, freely mobile (non-adherent to tarsus) and pedunculated. A brilliant transillumination was elicited suggesting clear fluid contents of the cyst [Figure 1b]. Lacrimal irrigation confirmed a patent canalicular and nasolacrimal duct system. Lacrimal punctum sparing, in toto surgical excision of the cyst was performed. Histopathology confirmed the clinical diagnosis of eccrine hidrocystoma.

Figure 1a: A large (22x18 mm), tense, cystic mass with prominent overlying vessels

Figure 1b: Brilliant transillumination- suggestive of clear fluid contents

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Conflicts of interest

There are no conflicts of interest.