Giant eccrine hidrocystoma presenting with unilateral ptosis and epiphora.

PURPOSE: To report the presentation and management of an atypical and advanced case of hidrocystoma of the eyelids with associated functional complications.

METHODS

Interventional case report with clinical photographs at presentation, intra-operative photographs, and histology.

RESULTS

A 55-year-old lady who presented with massive upper and lower eyelid swellings causing mechanical ptosis and epiphora, respectively, was managed by surgical excision of the lesions. Histology confirmed eccrine hidrocystoma.

CONCLUSIONS

Eccrine hidrocystoma should be considered in the differential diagnosis of adnexal masses and such lesions may cause significant functional and cosmetic morbidity despite their histologically benign nature.