Differential Incidence of Eyelid Margin Cysts in ASU Outpatients
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 72, Issue 6
Abstract
<strong>Background: </strong>Wide varieties of lesions affecting the eyelid are encountered within routine Ophthalmology practice. These lesions are numerous due to the unique anatomical features of the eyelid as the whole skin structures, appendages, muscle, modified glands, and conjunctival mucous membrane are represented in the eyelid. The eyelid comprises different types of glands that clinically correlate with the development of eyelid cysts; Sebaceous glands (Meibomian glands and glands of Zeis), aporcine glands (glands of Moll) and eccrine sweat glands. <strong>Objectives: </strong>To report the incidence of the different etiologies of eyelid margin cysts in Ain Shams University (ASU) Hospital, General Ophthalmology Outpatients Clinic. <strong>Patients and Methods: </strong>It included all patients who presented to the General Ophthalmology Outpatient Clinic, 6 days per week for one month (November 2017) complaining of eyelid margin lesions, found cystic on slit lamp examination, of all ages. <strong>Results: </strong>The total number of patients recorded was 45 patients presenting with eyelid margin cysts, out of 1920 patients visiting the General Ophthalmology Outpatient Clinic during the month of November 2017 with an incidence of 2.34%. Seven types of cysts were found namely; External Hordeolum (8.9%), Internal Hordeolum (15.6%), Chalazion (28.9%), Sebaceous Cyst (11.1%), Cyst of Zeis Gland (13.3%), Apocrine Hidrocystoma (11.1%) and Eccrine Hidrocystoma (11.1%). <strong>Conclusion: </strong>Eyelid margin cysts should be studied and categorized as a separate entity from eyelid lesion due to the unique anatomy of the eyelid margin. The incidence was calculated to be 2.34% during this study that was relatively short lived. Chalazion was the most common lesion encountered but that was solely by clinical diagnosis. <strong>Recommendations: </strong>It is recommended to continue this study for a longer duration to be more comparable with the other studies and it should be enriched by histopathological diagnosis aside the clinical one.
Authors and Affiliations
Eman Helal
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