Dr. Anant Sharma, S16159, Dr. Anju Kochar, Dr. Lokesh Kumar Maurya
PURPOSE : To report intratarsal epidermal inclusion cyst that arose within the tarsus, an unusual site of origin.A 4 year old boy presented to us with lowerlid intratarsal inclusion cyst since 6 months.At surgery in each of these cases a cyst arising within the tarsus was encountered. Eventually, the tarsus containing the base of the cyst was excised to ensure complete removal. The cysts were approximately 4 mm to 6 mm in greatest dimension and had yellowish-white gelatinous contents.On histopathology tarsal tissue around the cyst wall showed epidermal elements.There have been no recurrences after complete excision.Intratarsal epidermal inclusion cysts share some clinical features with chalazia. Lack of inflammation, lack of fluctuation in size, gradual continued slow growth, and delayed onset of recurrence may help to differentiate tarsal cyst from recurrent chalazion.Total excision of the cyst including excision of tarsus at the cyst’s base suggestive for definite treatment.