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PHOTO ESSAY
Year : 2021  |  Volume : 1  |  Issue : 3  |  Page : 435-436

Eyelid lipoma – A rare entity


1 Department of Ophthalmology, Government Medical College, Amritsar, Punjab, India
2 Department of Pathology, Government Medical College, Amritsar, Punjab, India

Date of Submission10-Sep-2020
Date of Acceptance14-Feb-2021
Date of Web Publication02-Jul-2021

Correspondence Address:
Dr. Karamjit Singh
3-H Block, Girls Hostel, GMC Amritsar - 143 001, Punjab
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2899_20

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  Abstract 


Keywords: Eyelid, lipoma, swelling


How to cite this article:
Ajmani U, Singh K, Kaur P, Kumar R, Shivani, Setia S. Eyelid lipoma – A rare entity. Indian J Ophthalmol Case Rep 2021;1:435-6

How to cite this URL:
Ajmani U, Singh K, Kaur P, Kumar R, Shivani, Setia S. Eyelid lipoma – A rare entity. Indian J Ophthalmol Case Rep [serial online] 2021 [cited 2021 Jul 26];1:435-6. Available from: https://www.ijoreports.in/text.asp?2021/1/3/435/320024



A 40-year-old man presented to outpatient department for evaluation of a slowly growing, painless swelling on the left upper eyelid [Figure 1]a for last five years. He had similar multiple painless swellings on his trunk.
Figure 1: (a) pre-op photo of patient. (b) and (c) post-op photo of patient

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Examination revealed a soft, freely mobile, non-tender mass approximately 4 × 3 cm in size in the lateral aspect of the left upper lid. No proptosis or gross globe disfigurement was observed. Ocular examination revealed a best corrected visual acuity of 20/20 in both eyes with normal anterior and posterior segment examination. Extraocular movements were normal in both eyes. IOP was within normal limits in both eyes.

The mass was excised under local anesthesia through an incision made along the eyelid crease. Intraoperatively, mass was found to be composed of two well-defined encapsulated lesions located between the orbicularis muscle and orbital septum measuring 2.3 × 1.8 × 1.2 cm and 1.8 × 1.3 × 1 cm respectively [Figure 2]a and [Figure 2]b. The cut surface of these soft tissue masses revealed a greyish-yellow inner surface. Hematoxylin and Eosin stained sections showed mature fatty tissue consistent with lipoma [Figure 2]c.
Figure 2: (a) and (b) excised masses. (c) H and E stained section

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After 6 months of follow-up postoperatively, there was no sign of recurrence and patient was asymptomatic with excellent cosmetic results [Figure 1]b and [Figure 1]c.


  Discussion Top


Clinically, lipoma usually presents as an asymptomatic, well circumscribed slowly growing mass of firm or soft consistency.[1] An association with genetic aberrations has been described for most types of adipocytic tumors and some trauma mechanisms, such as origin from lipoblastic embryonic cell nests, blunt trauma or chronic intermittent compression have been associated with the pathogenesis of lipomas.[2] Histopathological examination is gold standard for diagnosing lipoma. The treatment of all histological variants of lipoma is surgical excision. Lipomas of eyelid are rare and only a few cases have been reported worldwide.[3],[4],[5],[6],[7],[8]

Although rare, lipomas should be considered in differential diagnosis of benign eyelid swellings. To the best of our knowledge after reviewing the existing literature, this is the first case of simple eyelid lipoma reported from India.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Jung SN, Shin JW, Kwon H, Yim YM. Fibrolipoma of the tip of the nose. J Craniofac Surg 2009;20:555-6.  Back to cited text no. 1
    
2.
Vasconcelos JS, Gharaibeh F, Nittinger HC. Trauma as pathogenesis of a plantar forefoot fibrolipoma: First case and review of the literature. Case Rep Surg 2013;2013:691276.  Back to cited text no. 2
    
3.
Oliphant H, Rajak S, Selva D. Simple lipoma of the eyelid: A rare entity. Clin Exp Ophthalmol 2017;45:412-3.  Back to cited text no. 3
    
4.
Thyparampil P, Diwan AH, Diaz-Marchan P, Grekin SJ, Marx DP. Eyelid lipomas: A case report and review of the literature. Orbit 2012;31:319-20.  Back to cited text no. 4
    
5.
Maeng MM, Godfrey KJ, Kazim M. Preseptal upper eyelid lipoma. Ophthalmic Plast Reconstr Surg 2019;35:e2-3.  Back to cited text no. 5
    
6.
Charles NC, Palu RN. Intramuscular lipoma of the eyelid. Ophthalmic Surg Lasers 2000;31:340-1.  Back to cited text no. 6
    
7.
Buller A, O'Donnell A, Bonshek RE, Leatherbarrow B. Intramuscular lipoma of the eyelid: A case report. Eye (Lond) 2004;18:743-5.  Back to cited text no. 7
    
8.
Kumar S, Kumar S, Kulshrestha R. Osteolipoma of the eyelid. Clin Exp Ophthalmol 2008;36:473-4.  Back to cited text no. 8
    


    Figures

  [Figure 1], [Figure 2]



 

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