A RETROSPECTIVE STUDY ON CLINICAL AND HISTOPATHOLOGICAL PROFILE OF EYE LID LESIONS IN A TERTIARY CARE CENTRE

Abstract

Background: Eyelid tumours are cosmetically disturbing to patientsalso can affect the normal visual acuity. Diagnosis of these lesions requires an understanding of the anatomy of the lids along with history, clinical examination and appropriate investigation such as
Histopathological examination in cases of suspected malignancy where a diagnosis cannot be made with accuracy on clinical backgrounds.
Objective: Therefore, we aimed to explore and analyze on the relative frequency and clinical features of eyelid tumours from our institute based on the histological classification system.
Methodology: A retrospective study was done in a tertiary care hospital, where data on 200 eyelid lesions were obtained from medical records in the past 4 years.The classification of the lesions was done according to the Histopathological classification of eyelid tumours by Biswas A. Data analysed using SPSS version 23. Statistical analysis was done using independent student T test and chi-square test with P<0.05 considered as statistically significant.
Results: Benign and miscellaneous lesions were 86% and Premalignant and malignant were 14%.Amongst the malignant eyelid lesions, prevalence of Adeno Carcinoma (3.5 %) was most common followed by Squamous Cell Carcinoma (2%) and Sebaceous gland carcinoma (1.5%). From benign tumour, Nevus (8.5%) was most common followed by papilloma (7.5%) and epidermoid cyst (5.5%).

Conclusion: Benign lesion though are the most common eyelid lesions cause disfigurement of eye and impair the vision, hence early diagnosis is required to save the vision and for cosmetic purpose. Timely management of malignant lesions will improve the patient
outcome.