Dr. Aastha Singh, S15503, Dr. Bhawesh Chandra Saha
A 42 year otherwise healthy male presented to our OPD with complaint of painless swelling in his right lower lid since past 2 years which was progressively increasing in size. It hindered his inferior field of vision and gave unsightly appearance.There was no history of trauma.
Clinical examination revealed a fluctuant multilobular cystic swelling in the right lower eyelid which was bluish, non-tender, nonvascularized, not fixed to the overlying skin or the deeper planes and measured 3 x 2 cm. Visual acuity, extra-ocular movements and rest of the ocular exam were otherwise normal.
Excisional biopsy of the nodule was performed by anterior orbitotomy (transconjunctival).A large bluish round cyst was removed enbloc. HPE showed a multi-loculated solitary cystic lesion lined by cuboidal epithelial cells with an empty lumen. The cyst wall was composed of fibrocollagenous tissue with few thin walled blood vessels and sparse lymphocytic infiltrate suggestive of Sudoriferous cyst of Moll Glands