Divided nevus of the eyelid

Area of Science:

• Ophthalmology
• Dermatology
• Plastic Surgery

Background:

• Congenital divided nevi are rare benign skin tumors present at birth, characterized by their unusual separation into distinct parts.
• Eyelid involvement by congenital nevi can present functional and aesthetic challenges, requiring specialized surgical management.
• This case focuses on a specific instance of a congenital divided nevus affecting both the upper and lower left eyelids in an adult.

Observation:

• The patient presented with a congenital divided nevus involving the left upper and lower eyelids.
• The nevus's divided nature posed a unique surgical challenge due to its location across both palpebrae.
• A two-stage surgical strategy was devised to address the complexity of the lesion.

Findings:

• The successful two-stage surgical treatment effectively reconstructed the eyelid contour and removed the congenital nevus.
• Histopathological examination confirmed the benign nature of the nevus.
• The surgical approach minimized functional impairment and achieved satisfactory aesthetic outcomes.

Implications:

• This case highlights a viable surgical technique for managing complex congenital divided nevi of the eyelids.
• The findings contribute to the understanding of surgical options for rare eyelid malformations.
• Further research into long-term outcomes and variations of this technique may benefit patients with similar conditions.