Lid Lesions

Question 1

Which of the benign lesions below is a cyst of Zeiss, the sebaceous glands of the eyelid?

1 - A
2 - B
3 - C
4 - D

Answer 1

1 - A

Question 2

Is the content from a cycst of Zeiss white or clear in appearance?

Answer 2

• white

This is how to distinguish between a cyst of moll and zeiss

Question 3

Which of the benign lesions below is a cyst of Moll, the sweat glands of the eyelid?

1 - A
2 - B
3 - C
4 - D

Answer 3

2 - B

Question 4

Is the content from a cycst of Moll white or clear in appearance?

Answer 4

• clear

This is how to distinguish between a cyst of moll and zeiss

Question 5

Which of the benign lesions below is a Meibomian cyst, the lipid secreting aspect of the eyelids?

1 - A
2 - B
3 - C
4 - D

Answer 5

4 - D

Question 6

In any lid lesions, if the patient is asymptomatic, would any treatment be needed?

Answer 6

• no

Typically only treat if symptomatic

Question 7

What conservative management are patients with an asymptomatic lid cysts advised?

1 - warm compress
2 - lid hygiene
3 - lid massage
4 - all of the above

Answer 7

4 - all of the above

Question 8

In patients with benign Meibomian cysts, all of the following should be performed EXCEPT which one?

1 - laser removal
2 - massage and warm compress
3 - antibiotics if infected
4 - incision and curettage (I&C)(remove cyst contents and tissue)

Answer 8

1 - laser removal

In I&C the eyelid is inverted to be treated

Question 9

Which of the following images of benign lid lesions shows Actinic keratosis – pre cancerous damaged sun exposed skin?

1 - A
2 - B
3 - C
4 - D

Answer 9

4 - D

Typically excised and sent for histology

Question 10

Which of the following images of benign lid lesions shows a pedunculated papilloma?

1 - A
2 - B
3 - C
4 - D

Answer 10

1 - A

Typically excised and sent for histology

Question 11

Which of the following images of benign lid lesions shows a Sessile papilloma?

1 - A
2 - B
3 - C
4 - D

Answer 11

2 - B

Typically excised and sent for histology

Question 12

Which of the following images of benign lid lesions shows a Basal cell Papilloma (seborrheic wart)?

1 - A
2 - B
3 - C
4 - D

Answer 12

3 - C

Typically excised and sent for histology

Question 13

Which of the following images of benign lid lesions shows a Molluscum contangiosum?

1 - A
2 - B
3 - C
4 - D

Answer 13

1 - A

Small pearl like lesions around the eyelids and also give rise to red eye, related to pox virus

Question 14

Which of the following images of benign lid lesions shows Chalazions?

1 - A
2 - B
3 - C
4 - D

Answer 14

2 - B

Question 15

Can hair lice infect patienrs eye lashes?

Answer 15

• yes

Can lead to conjunctivitis

Question 16

In lesions that continue to bleed or ulcerate, we need to be concerned for potential malignancy. Which type of skin cancer is present in all of the images below?

1 - squamous cell carcinoma
2 - basal cell carcinoma
3 - melanoma

Answer 16

2 - basal cell carcinoma

Eyelashes are likely to be absent, which is another suggestive sign of malignancy