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Diagnosis and treatment of upper eyelid lipoma: A case report
Marta Starnoni1, Giorgio De Santis1, Roberto Pasini1
1University of Modena and Reggio Emilia, Department of Surgical Sciences, Division of Plastic Surgery, Largo Pozzo 71, 41124, Modena, Italy.
Purpose:
Presentation of a rare lesion: a case of upper eyelid lipoma.
Observations:
A 76-year-old otherwise healthy woman presented with a right upper eyelid swelling. Her medical history was recorded. On ophthalmologic examination a soft, non-ulcerated and not well-circumscribed mass was evident. An ultrasonography examination was carried out showing a hyperechoic non capsulated mass situated between the superior orbital margin and the orbicularis oculi muscle.
Conclusions And Importance:
Eyelid lipomas must be differentiated from herniated orbital fat, cystic lesions, tumours, and the lacrimal gland.A pre-operative differential diagnosis of eyelid lipoma can be done through medical history, ophthalmologic, and ultrasonography examinations. Nevertheless, in case of doubt a magnetic resonance imaging (MRI) should be performed to assess a possible orbital involvement and to plan for the right surgical procedure to be performed.
