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Tarsal dermoid cyst: clinical presentation and treatment

Irina V Koreen1, Alon Kahana, Roberta E Gausas

  • 1Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA.

Ophthalmic Plastic and Reconstructive Surgery
|March 21, 2009
PubMed

Insights

This study reports two infant cases of eyelid dermoid cysts attached to the tarsus. Early diagnosis and surgical excision are crucial to prevent inflammation and scarring from misdiagnosis.

Area of Science:

  • Ophthalmology
  • Pediatric Surgery

Background:

  • Eyelid masses in infants require careful diagnosis.
  • Dermoid cysts are congenital tumors that can occur in various locations.

Observation:

  • Two infant cases presented with firm, nontender upper eyelid masses adherent to the tarsus.
  • Surgical excision en bloc was performed for both lesions.

Findings:

  • Histopathology confirmed dermoid cysts in both cases.
  • These represent the first reported instances of dermoid cysts specifically attached to the tarsus.

Implications:

  • Dermoid cysts should be considered in the differential diagnosis of tarsus-based eyelid masses in pediatric patients.
  • Misdiagnosis, such as incision and curettage, can lead to cyst content spillage, inflammation, and scarring.

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