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Caliber persistent artery of the eyelid
Kelvin K Y Wong1, Fiona Roberts, Paul Cauchi
1Ophthalmology Department, Southern General Hospital, Glasgow G51 4TF, United Kingdom. klf032@yahoo.co.uk
Summary
Caliber persistent artery, a vascular condition typically seen on the lips, can also present as a painless red eyelid lesion. This case series highlights its occurrence in the eyelid, aiding in diagnosis.
Area of Science:
- Ophthalmology
- Dermatology
- Vascular Surgery
Background:
- Caliber persistent artery (CPA) is a vascular anomaly typically found on the lips.
- This report details three cases of CPA presenting in the eyelid, a rare occurrence.
Observation:
- Three patients presented with painless, red eyelid lesions.
- Lesions were located on the lower eyelid in two patients and the upper eyelid in one.
- One patient exhibited bilateral lower eyelid lesions.
Findings:
- Histological examination confirmed a large caliber artery within the dermis.
- The artery's orientation was nearly perpendicular to the skin surface.
- Findings were consistent with caliber persistent artery.
Implications:
- CPA should be considered in the differential diagnosis of eyelid vascular lesions.
- This study represents the first reports of CPA affecting the eyelids.
- Early recognition can guide appropriate clinical management.
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