Is it blepharitis?

Blepharitis is a ubiquitous disease and arguably, among the most common conditions that eye care practitioners encounter. Usually, its diagnosis is straight forward. However, any deviation from its predicted clinical appearance should cause the practitioner to consider other possibilities. The patient described in this report was diagnosed with blepharitis and treated as such. However, the true cause of her difficulties was basal cell carcinoma. This condition is briefly reviewed.