Orofacial granulomatosis presenting as bilateral eyelid swelling.

Orofacial granulomatosis (OFG) is an uncommon but increasingly recognized disease of unknown etiology. The typical presentation is chronic swelling of the perioral soft tissue, but eyelid edema can be the sole manifestation. Terminology of this disease can be confusing as it may also be referred to as granulomatous cheilitis and a monosymptomatic presentation of Melkersson-Rosenthal syndrome (MRS).

Periocular basal cell carcinoma arising in a site of previous trauma.

Case Report: We report an incidence of basal cell carcinoma of the lower lid arising in an area of trauma 68 years after the initial injury.

Comments: Because patients may disregard the appearance of a wound in the setting of former trauma, medical practitioners need increased suspicion and surveillance of chronic nonhealing wounds.

Postmortem microscopic evaluation and clinical correlation of a pseudophakic eye with pseudoexfoliation and loss of zonular support.

We describe a pseudophakic patient with pseudoexfoliation who developed late intraocular lens (IOL) instability manifested by pseudophakodonesis, a change in refraction, and loss of glaucoma control. The patient subsequently required glaucoma surgery that was complicated by vitreous loss. Preoperative ultrasound biomicroscopy (UBM) failed to provide useful information regarding the zonular status.

Clinicopathologic features and behavior of cutaneous eyelid melanoma.

Objective: To study the clinical and histopathologic features of cutaneous eyelid melanomas and identify prognostic factors in the behavior of such tumors.

Design: Retrospective observational case series.

Participants: Twenty-three patients with cutaneous eyelid melanomas without conjunctival involvement.