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Enlarging Pigmented Eyelid Mass Associated with Remote Pencil Trauma.
Paul O Phelps1, J Andrew Carlson2, Dale R Meyer2
1Ophthalmic Plastic Surgery, Lions Eye Institute, Slingerlands, New York, USA.
Ocular Oncology and Pathology
|January 19, 2018
Summary
A graphite pencil tip was found in a woman's eyelid, causing a pigmented mass. Histopathology revealed granulomatous inflammation and macrophages surrounding the foreign object.
Area of Science:
- Ophthalmology
- Pathology
- Foreign Body Reactions
Background:
- Pigmented lesions of the eyelid can have various causes.
- Foreign bodies in the orbit are rare but can lead to inflammatory responses.
Purpose of the Study:
- To report a unique case of a pencil lead foreign body presenting as an eyelid mass.
- To describe the histopathological findings associated with a graphite foreign body in the eyelid.
Main Methods:
- Clinical presentation of a gradually enlarging pigmented eyelid mass.
- Surgical excision and histopathological examination of the mass.
- Microscopic analysis for foreign material and inflammatory cells.
Main Results:
- A graphite pencil core was identified within the upper eyelid and anterior orbit.
- The graphite was surrounded by a fibrous capsule and macrophages containing graphite pigment.
- Histopathology confirmed granulomatous inflammation.
Conclusions:
- Pencil lead can act as a foreign body, inducing a foreign body granuloma.
- This case highlights the importance of considering unusual foreign bodies in the differential diagnosis of eyelid masses.
- Prompt diagnosis and removal are essential for managing such conditions.
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