Intradermal nevi of the eyelid

Intradermal nevi of the eyelid may be found on the eyelid margin, but occasionally occur on the eyelid skin. Excision of the tumor is performed to substantiate the diagnosis and to improve cosmesis. If the tumor involves the skin alone, an elliptical resection of tumor is recommended. If the tumor appears on the eyelid margin only, it is sliced off parallel with the lid margin. This provides a simple technique to obtain a specimen for diagnosis. It spares the cilia, requires no sutures, and provides a good cosmetic result. If the tumor involves eyelid margin and skin simultaneously, a combination of the elliptical excision and slicing technique is used. When the tumor is more extensive, a full-thickness pentagonal resection of the eyelid with or without canthotomy and cantholysis is performed.