A unique case of dermolipoma located in the lower eyelid

A 16-year-old healthy girl was referred to the authors' clinic for a palpable mass in her right lower eyelid. The patient was treated under the initial diagnosis of chronic conjunctivitis and ectopic cilia in the medial part of her right lower eyelid at a local clinic for 1 year. A soft, nontender, 2.0 x 1.5 x 1.0-cm elliptical mass was palpable in the medial aspect of the patient's right lower eyelid. The medial part of the palpebral conjunctival surface was covered by keratinized epithelium with fine hairs. Histologic findings were consistent with a dermolipoma. The authors describe a very rare case of dermolipoma in the lower eyelid presenting with keratinized epithelium on the medial palpebral conjunctiva.